Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $63.10	Professional		$30.20	$50.12	$63.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $2,691.53 / $4,073.80	Facility		$63.10	$2,691.53	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $89.13	Professional		$41.69	$58.88	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $77.62	Professional		$19.05	$30.20	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $74.13	Professional		$38.02	$54.95	$74.13