Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.14 / $2,256.52 / $16,467.00	Facility		$1,150.14	$2,256.52	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $873.53 / $1,308.20 / $1,864.99	Facility		$873.53	$1,308.20	$1,864.99
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $217.52 / $261.64 / $318.52	Facility	80	$217.52	$261.64	$318.52
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $152.27 / $183.15 / $222.97	Facility	AS	$152.27	$183.15	$222.97
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