Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.03 / $633.03 / $750.00	Facility		$633.03	$633.03	$750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.46 / $633.03 / $750.00	Professional		$568.46	$633.03	$750.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $810.05 / $810.05 / $810.05	Professional		$810.05	$810.05	$810.05