Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $7,943.28 / $10,232.93	Facility		$2,290.87	$7,943.28	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $7,943.28 / $7,943.28	Professional		$3,801.89	$7,943.28	$7,943.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,943.28 / $13,182.57	Facility		$7,585.78	$7,943.28	$13,182.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20