Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,380.38	Professional		$380.19	$562.34	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $1,380.38	Professional		$416.87	$660.69	$1,380.38
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 $295.12 / $295.12 / $707.95	Professional		$295.12	$295.12	$707.95