Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,627.13 / $5,166.64 / $16,467.00	Facility		$2,627.13	$5,166.64	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,964.30 / $2,861.00 / $4,516.71	Facility		$1,964.30	$2,861.00	$4,516.71
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $441.40 / $572.20 / $809.13	Facility	80	$441.40	$572.20	$809.13
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $308.98 / $400.54 / $566.39	Facility	AS	$308.98	$400.54	$566.39
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