Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $1,557.09	Facility		$1,557.09	$1,557.09	$1,557.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $1,557.09	Professional		$1,557.09	$1,557.09	$1,557.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $928.11 / $1,557.09 / $1,930.79	Facility		$928.11	$1,557.09	$1,930.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,044.76 / $3,044.76 / $3,044.76	Professional		$3,044.76	$3,044.76	$3,044.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $70.00	Professional		$30.00	$30.00	$70.00