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 $294.95 / $367.44 / $444.48	Professional		$294.95	$367.44	$444.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $294.95 / $444.48 / $568.92	Facility		$294.95	$444.48	$568.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,900.00	Professional		$30.00	$78.00	$3,900.00