Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.74 / $622.74 / $622.74	Facility		$622.74	$622.74	$622.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $254.94 / $254.94	Professional		$17.60	$254.94	$254.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $254.94 / $267.69 / $548.12	Facility		$254.94	$267.69	$548.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,500.00	Professional		$30.00	$30.00	$3,500.00