Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $1,513.56 / $1,513.56	Facility		$30.20	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,513.56	Professional		$30.20	$30.20	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $33.88 / $1,659.59	Facility		$30.20	$33.88	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $31.62 / $1,819.70	Facility		$30.20	$31.62	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $79.43	Professional		$41.69	$41.69	$79.43