Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.66 / $241.07 / $527.96	Facility		$102.66	$241.07	$527.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $91.66	Professional		$91.66	$91.66	$91.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $131.07	Facility		$91.66	$91.66	$131.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $131.07	Facility		$91.66	$91.66	$131.07