Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $47.06 / $47.06	Professional		$47.06	$47.06	$47.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $47.06 / $776.64	Facility		$47.06	$47.06	$776.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $47.06 / $776.64	Facility		$47.06	$47.06	$776.64