Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,802.04 / $8,802.04 / $8,802.04	Facility		$8,802.04	$8,802.04	$8,802.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.68 / $369.68 / $421.37	Professional		$369.68	$369.68	$421.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $369.68 / $388.16 / $794.81	Facility		$369.68	$388.16	$794.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00