Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Professional		$88.00	$88.00	$88.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.84 / $125.84 / $125.84	Facility		$125.84	$125.84	$125.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.56 / $120.56 / $125.84	Facility		$120.56	$120.56	$125.84