Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $20.42	Professional		$19.05	$19.05	$20.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $20.42 / $28.84	Facility		$19.05	$20.42	$28.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Professional		$19.05	$19.05	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
Select Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38