Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.03 / $999.03 / $999.03	Professional		$999.03	$999.03	$999.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,298.74 / $1,298.74 / $1,298.74	Facility		$1,298.74	$1,298.74	$1,298.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00