Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $51.12 / $51.12	Professional		$51.12	$51.12	$51.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $73.09 / $73.09	Facility		$73.09	$73.09	$73.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.03 / $70.03 / $73.09	Facility		$70.03	$70.03	$73.09