Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $122.46	Professional		$48.75	$48.75	$122.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $60.94 / $122.46	Facility		$48.75	$60.94	$122.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.44 / $48.75 / $68.25	Facility		$41.44	$48.75	$68.25