Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,120.10 / $5,120.10 / $5,120.10	Professional		$5,120.10	$5,120.10	$5,120.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6,656.14 / $6,656.14 / $6,656.14	Facility		$6,656.14	$6,656.14	$6,656.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00