Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $206.72 / $835.77	Facility		$206.72	$206.72	$835.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $206.72 / $206.72	Professional		$206.72	$206.72	$206.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $206.72 / $279.07	Facility		$206.72	$206.72	$279.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00