Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $18.12 / $73.26	Facility		$18.12	$18.12	$73.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $18.12 / $21.53	Professional		$17.79	$18.12	$21.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $18.30 / $30.80	Facility		$18.12	$18.30	$30.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $74.73 / $74.73	Professional		$74.73	$74.73	$74.73
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 $20.09 / $27.29 / $42.16	Professional		$20.09	$27.29	$42.16