Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.97 / $172.97 / $611.52	Facility		$172.97	$172.97	$611.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $174.72 / $174.72	Professional		$107.42	$174.72	$174.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.85 / $249.85 / $249.85	Facility		$249.85	$249.85	$249.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $101.08 / $144.40	Professional		$101.08	$101.08	$144.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.85 / $249.85 / $249.85	Facility		$249.85	$249.85	$249.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $101.08 / $144.40	Professional		$101.08	$101.08	$144.40
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $194.13 / $261.07	Professional		$129.41	$194.13	$261.07