Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $20.32 / $82.19	Facility		$20.32	$20.32	$82.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $20.32	Professional		$20.32	$20.32	$20.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $22.36 / $34.56	Facility		$20.32	$22.36	$34.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00