Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Professional		$64.00	$64.00	$64.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.52 / $91.52 / $91.52	Facility		$91.52	$91.52	$91.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.68 / $87.68 / $91.52	Facility		$87.68	$87.68	$91.52