Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $237.75 / $237.75	Professional		$110.87	$237.75	$237.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.18 / $237.75 / $399.42	Facility		$155.18	$237.75	$399.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00