Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $15.40 / $15.40	Professional		$15.40	$15.40	$15.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $15.40 / $18.48	Facility		$15.40	$15.40	$18.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $5.23 / $5.23	Professional		$5.23	$5.23	$5.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00