Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $158.49 / $239.88	Professional		$15.14	$158.49	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $158.49 / $239.88	Facility		$112.20	$158.49	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $112.20 / $239.88	Professional		$15.14	$112.20	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $60.26	Professional		$34.67	$39.81	$60.26