Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.87 / $3,937.92 / $16,467.00	Facility		$1,749.87	$3,937.92	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,487.39 / $2,118.00 / $3,253.90	Facility		$1,487.39	$2,118.00	$3,253.90
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $378.54 / $425.20 / $534.42	Facility	80	$378.54	$425.20	$534.42
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $264.98 / $297.64 / $374.10	Facility	AS	$264.98	$297.64	$374.10
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,107.00 / $8,818.00	Facility		$659.00	$6,107.00	$8,818.00