Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $170.10 / $387.00	Professional		$169.58	$170.10	$387.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.57 / $201.71 / $495.36	Facility		$134.57	$201.71	$495.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,000.00 / $3,900.00	Professional		$30.00	$2,000.00	$3,900.00