Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $151.36 / $204.17	Professional		$72.44	$151.36	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $190.55 / $338.84	Facility		$70.79	$190.55	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95