Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.34 / $108.34 / $108.34	Facility		$108.34	$108.34	$108.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $167.28 / $192.92	Professional		$108.34	$167.28	$192.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.33 / $188.93 / $238.59	Facility		$149.33	$188.93	$238.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,500.00	Professional		$30.00	$55.00	$3,500.00