Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $8.00	Professional		$4.88	$4.88	$8.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $5.12 / $10.49	Facility		$4.88	$5.12	$10.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,500.00	Professional		$30.00	$30.00	$3,500.00