Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,749.07 / $5,418.81 / $16,467.00	Facility		$2,749.07	$5,418.81	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,095.01 / $2,843.87 / $4,730.63	Facility		$2,095.01	$2,843.87	$4,730.63
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $522.74 / $560.60 / $804.58	Facility	80	$522.74	$560.60	$804.58
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $326.89 / $392.42 / $563.21	Facility	AS	$326.89	$392.42	$563.21
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