Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,520.23 / $3,520.23 / $4,500.00	Facility		$3,520.23	$3,520.23	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,520.23 / $3,520.23 / $3,520.23	Professional		$3,520.23	$3,520.23	$3,520.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,520.23 / $3,520.23 / $3,520.23	Facility		$3,520.23	$3,520.23	$3,520.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00