Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.86 / $1,774.08 / $16,467.00	Facility		$790.86	$1,774.08	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $672.23 / $1,014.00 / $1,463.38	Facility		$672.23	$1,014.00	$1,463.38
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $118.33 / $145.46 / $172.87	Facility	AS	$118.33	$145.46	$172.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $21,721.00 / $33,299.00	Facility		$3,340.00	$21,721.00	$33,299.00