Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Professional		$3.75	$3.75	$3.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Facility		$3.75	$3.75	$3.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $76.03 / $91.00	Professional		$60.82	$76.03	$91.00