Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.68 / $201.68 / $201.68	Facility		$201.68	$201.68	$201.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $190.52 / $201.68	Professional		$73.12	$190.52	$201.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.48 / $136.65 / $312.08	Facility		$49.48	$136.65	$312.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00