Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.61 / $1,944.43 / $16,467.00	Facility		$868.61	$1,944.43	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $713.91 / $1,114.74 / $1,612.11	Facility		$713.91	$1,114.74	$1,612.11
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $130.06 / $158.19 / $215.32	Facility	AS	$130.06	$158.19	$215.32
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