Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $363.08	Professional		$123.03	$245.47	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $245.47 / $245.47	Facility		$125.89	$245.47	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $165.96 / $245.47	Professional		$60.26	$165.96	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $245.47 / $245.47	Facility		$123.03	$245.47	$245.47
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 $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95