Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $3,801.89 / $3,801.89	Facility		$239.88	$3,801.89	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $660.69	Professional		$239.88	$239.88	$660.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $263.03 / $724.44	Facility		$239.88	$263.03	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20