Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.05 / $4.25	Facility		$1.05	$1.05	$4.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.05 / $1.05	Professional		$1.05	$1.05	$1.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.15 / $1.79	Facility		$1.05	$1.15	$1.79
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 $43.60 / $65.40 / $81.75	Professional		$43.60	$65.40	$81.75