Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $3,981.07	Professional		$1,621.81	$1,621.81	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $3,981.07	Facility		$1,621.81	$1,621.81	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,137.96	Professional		$1,621.81	$1,621.81	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62