Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.31 / $9,666.67 / $9,666.67	Facility		$1,366.31	$9,666.67	$9,666.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,759.30 / $4,759.30 / $4,759.30	Professional		$4,759.30	$4,759.30	$4,759.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6,187.09 / $6,187.09 / $6,187.09	Facility		$6,187.09	$6,187.09	$6,187.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00