Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $77.91 / $314.99	Facility		$77.91	$77.91	$314.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $77.91 / $77.91	Professional		$77.91	$77.91	$77.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $85.70 / $132.44	Facility		$77.91	$85.70	$132.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00