Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $2,398.83	Facility		$95.50	$95.50	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $2,398.83 / $2,511.89	Professional		$95.50	$2,398.83	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,630.78	Facility		$2,398.83	$2,398.83	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,511.89	Professional		$2,398.83	$2,398.83	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,388.44	Facility		$2,398.83	$2,398.83	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43