Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,856.00 / $4,856.00 / $4,856.00	Facility		$4,856.00	$4,856.00	$4,856.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.00 / $2,398.00 / $4,856.00	Professional		$2,398.00	$2,398.00	$4,856.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.00 / $2,398.00 / $4,916.51	Facility		$2,398.00	$2,398.00	$4,916.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00