Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.65 / $106.65 / $106.65	Facility		$106.65	$106.65	$106.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $111.04 / $360.00	Professional		$106.65	$111.04	$360.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $114.37 / $142.13	Facility		$111.04	$114.37	$142.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00