Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.55 / $861.55 / $861.55	Professional		$861.55	$861.55	$861.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $604.16 / $634.38 / $1,298.97	Facility		$604.16	$634.38	$1,298.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.16 / $604.16 / $1,298.97	Facility		$604.16	$604.16	$1,298.97