Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $309.03 / $870.96	Facility		$234.42	$309.03	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $107.15	Professional		$70.79	$75.86	$107.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $194.98	Facility		$47.86	$87.10	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $107.15	Professional		$61.66	$83.18	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $97.72 / $194.98	Facility		$47.86	$97.72	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $107.15 / $229.09	Professional		$42.66	$107.15	$229.09