Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $206.72 / $206.72	Facility		$206.72	$206.72	$206.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $206.72 / $206.72	Professional		$206.72	$206.72	$206.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $206.72 / $295.61	Facility		$206.72	$206.72	$295.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00