Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.22 / $175.22 / $175.22	Facility		$175.22	$175.22	$175.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $175.22 / $183.30	Professional		$128.30	$175.22	$183.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.77 / $157.87 / $288.77	Facility		$152.77	$157.87	$288.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.83 / $549.83 / $549.83	Professional		$549.83	$549.83	$549.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00