Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.14 / $4,230.00 / $9,870.00	Facility		$177.14	$4,230.00	$9,870.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.22 / $216.65 / $359.16	Facility		$161.22	$216.65	$359.16
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