Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,883.64 / $5,677.20 / $16,467.00	Facility		$2,883.64	$5,677.20	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,197.21 / $2,972.00 / $4,960.70	Facility		$2,197.21	$2,972.00	$4,960.70
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $560.25 / $594.40 / $882.96	Facility	80	$560.25	$594.40	$882.96
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $388.48 / $416.08 / $618.07	Facility	AS	$388.48	$416.08	$618.07
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