Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $20,417.38 / $34,673.69	Facility		$16,218.10	$20,417.38	$34,673.69
Molina Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,011.87 / $5,011.87	Facility		$3,162.28	$5,011.87	$5,011.87
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $186.21 / $2,884.03	Facility		$6.03	$186.21	$2,884.03