Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $186.21	Professional		$125.89	$125.89	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $269.15 / $676.08	Facility		$186.21	$269.15	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $186.21	Professional		$60.26	$125.89	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $269.15	Facility		$186.21	$186.21	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $107.15	Professional		$60.26	$60.26	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $165.96	Professional		$147.91	$147.91	$165.96