Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $208.93 / $208.93	Facility		$204.17	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $218.78 / $446.68	Facility		$208.93	$218.78	$446.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $218.78 / $323.59	Facility		$208.93	$218.78	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43