Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $97.72	Professional		$46.77	$46.77	$97.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $51.29 / $100.00	Facility		$46.77	$51.29	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20