Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,234.18 / $6,370.95 / $16,467.00	Facility		$3,234.18	$6,370.95	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,464.29 / $3,234.18 / $5,567.79	Facility		$2,464.29	$3,234.18	$5,567.79
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $619.21 / $635.79 / $964.07	Facility	80	$619.21	$635.79	$964.07
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $411.32 / $445.06 / $674.85	Facility	AS	$411.32	$445.06	$674.85
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