Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,819.70 / $9,549.93	Facility		$239.88	$1,819.70	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $354.81	Professional		$239.88	$239.88	$354.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $288.40 / $537.03	Facility		$239.88	$288.40	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20