Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $4,000.00 / $4,000.00	Facility		$4,000.00	$4,000.00	$4,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.27 / $1,609.27 / $4,000.00	Professional		$1,609.27	$1,609.27	$4,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,609.27 / $1,609.27 / $2,114.64	Facility		$1,609.27	$1,609.27	$2,114.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00