Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,550.83 / $8,966.75 / $16,467.00	Facility		$4,550.83	$8,966.75	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,082.77 / $4,414.55 / $7,476.35	Facility		$3,082.77	$4,414.55	$7,476.35
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $697.20 / $854.60 / $1,216.92	Facility	80	$697.20	$854.60	$1,216.92
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $488.04 / $526.51 / $851.84	Facility	AS	$488.04	$526.51	$851.84
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