Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Facility		$2.10	$2.10	$2.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $78.00	Professional		$30.00	$55.00	$78.00