Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $57.54	Facility		$34.67	$34.67	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $60.26	Professional		$34.67	$34.67	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $57.54	Facility		$34.67	$34.67	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26