Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $74.13	Professional		$43.65	$63.10	$74.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $75.86 / $125.89	Facility		$52.48	$75.86	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95