Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Facility		$9.63	$9.63	$9.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $9.63 / $38.40	Professional		$6.29	$9.63	$38.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $10.50 / $32.45	Facility		$9.63	$10.50	$32.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00