Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.26 / $1,555.34 / $16,467.00	Facility		$792.26	$1,555.34	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $601.94 / $891.50 / $1,284.33	Facility		$601.94	$891.50	$1,284.33
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $149.72 / $178.30 / $219.50	Facility	80	$149.72	$178.30	$219.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $104.80 / $124.81 / $153.65	Facility	AS	$104.80	$124.81	$153.65
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