Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.08 / $40.08 / $40.08	Facility		$40.08	$40.08	$40.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $40.08 / $54.97	Professional		$40.08	$40.08	$54.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.08 / $48.92 / $77.08	Facility		$40.08	$48.92	$77.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00