Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $181.97 / $724.44	Facility		$141.25	$181.97	$724.44
Molina Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $25.12 / $194.98	Facility		$0.83	$25.12	$194.98