Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.27 / $9,062.00 / $16,467.00	Facility		$1,029.27	$9,062.00	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $887.89 / $1,133.19 / $1,914.82	Facility		$887.89	$1,133.19	$1,914.82
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $226.64 / $226.64 / $323.77	Facility	80	$226.64	$226.64	$323.77
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $158.65 / $158.65 / $226.64	Facility	AS	$158.65	$158.65	$226.64
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