Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,348.96	Facility		$831.76	$831.76	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $831.76 / $831.76	Professional		$60.26	$831.76	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,348.96	Facility		$831.76	$831.76	$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