Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Professional		$3.75	$3.75	$3.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Facility		$3.75	$3.75	$3.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $78.00	Professional		$30.00	$55.00	$78.00