Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $3,776.00 / $9,727.00	Facility		$83.71	$3,776.00	$9,727.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $198.00 / $330.00	Facility		$83.71	$198.00	$330.00
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00