Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $45.71	Professional		$30.20	$30.20	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $45.71 / $66.07	Facility		$10.00	$45.71	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $60.26	Professional		$25.70	$30.20	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $66.07	Facility		$45.71	$45.71	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $60.26	Professional		$25.70	$37.15	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $69.18	Professional		$24.55	$24.55	$69.18