Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $12.00	Facility		$10.00	$10.00	$12.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00