Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $9,332.54 / $9,332.54	Facility		$1,380.38	$9,332.54	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,918.31 / $8,128.31	Facility		$4,786.30	$6,918.31	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20