Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $131.83	Professional		$107.15	$131.83	$131.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $131.83 / $223.87	Facility		$112.20	$131.83	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $138.04	Professional		$123.03	$131.83	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $3,467.37	Professional		$30.20	$30.20	$3,467.37