Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.11 / $69.11 / $69.11	Facility		$69.11	$69.11	$69.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.11 / $88.85 / $88.85	Professional		$69.11	$88.85	$88.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.65 / $88.85 / $94.18	Facility		$67.65	$88.85	$94.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00