Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,435.83 / $4,839.21 / $16,467.00	Facility		$2,435.83	$4,839.21	$16,467.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $487.17 / $487.17 / $967.84	Facility	53	$487.17	$487.17	$967.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,854.74 / $2,537.53 / $4,002.75	Facility		$1,854.74	$2,537.53	$4,002.75
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $473.04 / $507.51 / $719.69	Facility	80	$473.04	$507.51	$719.69
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