Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,503.11 / $4,932.28 / $16,467.00	Facility		$2,503.11	$4,932.28	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,903.43 / $2,764.22 / $4,085.26	Facility		$1,903.43	$2,764.22	$4,085.26
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $476.71 / $552.84 / $669.38	Facility	80	$476.71	$552.84	$669.38
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $333.70 / $386.99 / $468.57	Facility	AS	$333.70	$386.99	$468.57
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