Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.87 / $147.74 / $224.00	Professional		$143.87	$147.74	$224.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.37 / $331.37 / $387.52	Professional		$331.37	$331.37	$387.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.74 / $167.69 / $224.00	Facility		$147.74	$167.69	$224.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00