Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,513.56	Professional		$30.20	$30.20	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.02 / $1,584.89	Facility		$30.20	$38.02	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,513.56	Professional		$30.20	$30.20	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62