Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.80 / $216.80 / $216.80	Facility		$216.80	$216.80	$216.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $45.76 / $216.80	Professional		$45.76	$45.76	$216.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $45.76 / $58.57	Facility		$45.76	$45.76	$58.57