Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $208.93	Professional		$169.82	$169.82	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $363.08	Facility		$169.82	$169.82	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $169.82 / $288.40	Professional		$60.26	$169.82	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $239.88 / $363.08	Facility		$169.82	$239.88	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26