Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,965.61 / $4,426.10 / $16,467.00	Facility		$1,965.61	$4,426.10	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,533.68 / $2,068.00 / $3,658.07	Facility		$1,533.68	$2,068.00	$3,658.07
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $343.80 / $413.60 / $600.69	Facility	80	$343.80	$413.60	$600.69
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $240.66 / $286.16 / $420.48	Facility	AS	$240.66	$286.16	$420.48
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