Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Professional		$358.00	$358.00	$358.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $465.40 / $465.40 / $465.40	Facility		$465.40	$465.40	$465.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $146.37 / $153.68	Professional		$146.37	$146.37	$153.68