Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $77.91 / $150.00	Professional		$77.91	$77.91	$150.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $77.91 / $111.41	Facility		$77.91	$77.91	$111.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00