Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.79 / $1,102.64 / $21,886.00	Facility		$557.79	$1,102.64	$21,886.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $377.53 / $557.79 / $963.09	Facility		$377.53	$557.79	$963.09
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $83.00 / $109.46 / $195.45	Facility	80	$83.00	$109.46	$195.45
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $58.10 / $76.62 / $136.82	Facility	AS	$58.10	$76.62	$136.82
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