Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $9,772.37	Facility		$4,786.30	$4,786.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,011.87 / $9,772.37	Facility		$4,786.30	$5,011.87	$9,772.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62