Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,106.75 / $3,106.75 / $3,106.75	Facility		$3,106.75	$3,106.75	$3,106.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,924.00 / $3,106.75 / $3,143.30	Professional		$2,924.00	$3,106.75	$3,143.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,106.75 / $3,331.90 / $4,494.92	Facility		$3,106.75	$3,331.90	$4,494.92
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 $3,045.83 / $3,045.83 / $3,045.83	Professional		$3,045.83	$3,045.83	$3,045.83