Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,309.69 / $6,534.11 / $16,467.00	Facility		$3,309.69	$6,534.11	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,242.64 / $3,213.14 / $5,708.24	Facility		$2,242.64	$3,213.14	$5,708.24
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $520.40 / $559.78 / $886.77	Facility	80	$520.40	$559.78	$886.77
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $364.28 / $387.10 / $620.74	Facility	AS	$364.28	$387.10	$620.74
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