Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.78 / $1,201.78 / $5,519.00	Facility		$1,201.78	$1,201.78	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.78 / $1,201.78 / $1,201.78	Professional		$1,201.78	$1,201.78	$1,201.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,201.78 / $1,201.78 / $1,538.28	Facility		$1,201.78	$1,201.78	$1,538.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $78.00	Professional		$30.00	$30.00	$78.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00