Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.71 / $1,143.97 / $16,467.00	Facility		$573.71	$1,143.97	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $436.45 / $597.17 / $945.10	Facility		$436.45	$597.17	$945.10
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $111.13 / $119.44 / $170.12	Facility	80	$111.13	$119.44	$170.12
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00