Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.00 / $628.00 / $628.00	Facility		$628.00	$628.00	$628.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.00 / $628.00 / $628.00	Professional		$628.00	$628.00	$628.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $628.00 / $628.00 / $800.70	Facility		$628.00	$628.00	$800.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,500.00	Professional		$30.00	$55.00	$3,500.00