Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.72 / $176.72 / $176.72	Facility		$176.72	$176.72	$176.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $55.53 / $55.53	Professional		$50.49	$55.53	$55.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $72.20 / $72.20	Facility		$72.20	$72.20	$72.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $72.20 / $72.20	Facility		$72.20	$72.20	$72.20