Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $2,511.89 / $3,467.37 / $3,467.37	Professional	AA	$2,511.89	$3,467.37	$3,467.37
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $2,511.89 / $2,511.89 / $3,467.37	Professional	AA	$2,511.89	$2,511.89	$3,467.37
Providence Facility/Professional Facility Modifier QK Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Providence Facility/Professional Facility Modifier QX Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90
Providence Facility/Professional Facility Modifier QY Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90