Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.18 / $1,458.10 / $16,467.00	Facility		$737.18	$1,458.10	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $528.69 / $744.69 / $1,273.89	Facility		$528.69	$744.69	$1,273.89
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $121.60 / $155.19 / $217.80	Facility	80	$121.60	$155.19	$217.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $85.12 / $106.76 / $152.46	Facility	AS	$85.12	$106.76	$152.46
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