Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $87.10 / $87.10	Facility		$16.98	$87.10	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $87.10	Facility		$16.98	$16.98	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26