Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.00 / $634.00 / $634.00	Facility		$634.00	$634.00	$634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $85.50 / $634.00	Professional		$85.50	$85.50	$634.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $89.78 / $634.00	Facility		$85.50	$89.78	$634.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00