Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.38 / $6,539.90 / $16,467.00	Facility		$3,311.38	$6,539.90	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,482.21 / $3,762.00 / $5,715.52	Facility		$2,482.21	$3,762.00	$5,715.52
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $642.99 / $752.40 / $1,039.28	Facility	80	$642.99	$752.40	$1,039.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $447.23 / $526.67 / $727.50	Facility	AS	$447.23	$526.67	$727.50
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