Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,000.00	Professional		$707.95	$707.95	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,380.38	Facility		$707.95	$707.95	$1,380.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $707.95 / $1,000.00	Professional		$60.26	$707.95	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $1,348.96	Facility		$707.95	$977.24	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26