Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $118.50 / $118.50	Professional		$79.00	$118.50	$118.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.46 / $169.46 / $169.46	Facility		$169.46	$169.46	$169.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.46 / $169.46 / $169.46	Facility		$169.46	$169.46	$169.46
United Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $195.94 / $199.31	Professional		$195.94	$195.94	$199.31