Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,398.83	Facility		$1,819.70	$1,819.70	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,398.83 / $2,398.83	Professional		$1,318.26	$2,398.83	$2,398.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $4,073.80	Facility		$2,398.83	$2,398.83	$4,073.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20