Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $676.08	Professional		$190.55	$281.84	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $676.08	Professional		$208.93	$331.13	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $346.74	Professional		$147.91	$147.91	$346.74