Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Facility		$0.15	$0.15	$0.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.19	Facility		$0.15	$0.15	$0.19
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 Professional Modifier Low / Median / High Price $0.20 / $0.22 / $0.32	Professional		$0.20	$0.22	$0.32