Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.52 / $2,131.33 / $16,467.00	Facility		$951.52	$2,131.33	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $781.59 / $1,212.18 / $1,764.14	Facility		$781.59	$1,212.18	$1,764.14
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $141.79 / $173.60 / $221.75	Facility	AS	$141.79	$173.60	$221.75
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