Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.74 / $127.74 / $127.74	Facility		$127.74	$127.74	$127.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $138.91 / $138.91	Professional		$127.74	$138.91	$138.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $138.91 / $177.82	Facility		$138.91	$138.91	$177.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,900.00	Professional		$30.00	$78.00	$3,900.00