Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $83.00 / $83.00	Facility		$83.00	$83.00	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.50 / $826.50 / $826.50	Professional		$826.50	$826.50	$826.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $826.50 / $826.50 / $1,057.92	Facility		$826.50	$826.50	$1,057.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00