Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Facility		$906.54	$906.54	$906.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Professional		$906.54	$906.54	$906.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $1,155.83	Facility		$906.54	$906.54	$1,155.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $669.34 / $842.07	Professional		$30.00	$669.34	$842.07
United Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $201.63 / $286.80	Professional		$201.63	$201.63	$286.80