Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $235.59	Facility		$66.64	$66.64	$235.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $67.31 / $67.31	Professional		$41.38	$67.31	$67.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.25 / $96.25 / $96.25	Facility		$96.25	$96.25	$96.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $934.99 / $934.99 / $1,335.70	Professional		$934.99	$934.99	$1,335.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.25 / $96.25 / $96.25	Facility		$96.25	$96.25	$96.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $934.99 / $934.99 / $1,335.70	Professional		$934.99	$934.99	$1,335.70
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $63.42 / $85.29	Professional		$42.28	$63.42	$85.29