Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.87 / $148.87 / $148.87	Facility		$148.87	$148.87	$148.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $148.87 / $158.24	Professional		$132.00	$148.87	$158.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.00 / $158.24 / $258.20	Facility		$114.00	$158.24	$258.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00