Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.00 / $359.00 / $359.00	Professional		$359.00	$359.00	$359.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Facility		$13.00	$13.00	$13.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00