Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,875.00	Professional		$1,875.00	$1,875.00	$1,875.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $2,400.00 / $3,431.25	Facility		$1,875.00	$2,400.00	$3,431.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $3,500.00 / $3,900.00	Professional		$30.00	$3,500.00	$3,900.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $15,298.00 / $26,104.00	Facility		$3,700.00	$15,298.00	$26,104.00