Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,511.89 / $7,585.78	Facility		$870.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,995.26 / $6,760.83	Professional		$575.44	$1,995.26	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,290.87 / $6,918.31	Facility		$630.96	$2,290.87	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $4,570.88 / $12,022.64	Professional		$575.44	$4,570.88	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26