Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $74.13 / $81.28	Facility		$19.95	$74.13	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $25.12	Professional		$19.05	$19.95	$25.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $27.54	Facility		$20.42	$20.42	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20