Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $32.84 / $32.84	Facility		$32.84	$32.84	$32.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $30.30 / $32.84	Professional		$20.29	$30.30	$32.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $24.71 / $40.72	Facility		$13.85	$24.71	$40.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $110.25 / $110.25	Professional		$110.25	$110.25	$110.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $16.80 / $46.94	Professional		$2.67	$16.80	$46.94