Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $91.20	Facility		$89.13	$89.13	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $109.65	Professional		$34.67	$44.67	$109.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $2,691.53 / $4,897.79	Facility		$42.66	$2,691.53	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $123.03	Professional		$41.69	$64.57	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $4,677.35	Facility		$2,511.89	$3,311.31	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $120.23	Professional		$51.29	$72.44	$120.23