Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.15 / $1,822.04 / $9,727.00	Facility		$69.15	$1,822.04	$9,727.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.15 / $529.71 / $1,127.07	Facility		$69.15	$529.71	$1,127.07
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00