Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Molina Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $3,715.35	Facility		$64.57	$75.86	$3,715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,982.44 / $25,703.96	Facility		$10,964.78	$16,982.44	$25,703.96