Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.27 / $204.27 / $204.27	Facility		$204.27	$204.27	$204.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $204.27 / $208.26	Professional		$145.19	$204.27	$208.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.81 / $198.32 / $328.95	Facility		$124.81	$198.32	$328.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00