Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.61 / $212.61 / $212.61	Facility		$212.61	$212.61	$212.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $180.72 / $212.61	Professional		$170.09	$180.72	$212.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.72 / $193.81 / $261.45	Facility		$180.72	$193.81	$261.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $180.30 / $248.19	Professional		$180.30	$180.30	$248.19