Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $65.00	Professional		$26.00	$26.00	$65.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $26.00 / $33.28	Facility		$26.00	$26.00	$33.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,500.00	Professional		$30.00	$55.00	$3,500.00