Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $5,495.41	Facility		$1,412.54	$4,466.84	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $7,079.46	Professional		$4,466.84	$4,466.84	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $7,079.46	Facility		$1,412.54	$4,466.84	$7,079.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $7,079.46	Professional		$4,466.84	$4,466.84	$7,079.46
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 Facility Modifier Low / Median / High Price $1,819.70 / $8,317.64 / $9,332.54	Facility		$1,819.70	$8,317.64	$9,332.54