Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.03 / $53.03 / $53.03	Facility		$53.03	$53.03	$53.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $47.06 / $53.03	Professional		$47.06	$47.06	$53.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $47.06 / $776.64	Facility		$47.06	$47.06	$776.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00