Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.70 / $503.70 / $503.70	Facility		$503.70	$503.70	$503.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.23 / $503.70 / $503.70	Professional		$89.23	$503.70	$503.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $296.75 / $772.47	Facility		$56.69	$296.75	$772.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00