Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $237.96 / $521.16	Facility		$101.34	$237.96	$521.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $90.48 / $107.06	Professional		$90.48	$90.48	$107.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $90.48 / $129.38	Facility		$90.48	$90.48	$129.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $90.48 / $129.38	Facility		$90.48	$90.48	$129.38