Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.70 / $1,747.82 / $16,467.00	Facility		$883.70	$1,747.82	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $637.70 / $883.70 / $1,528.17	Facility		$637.70	$883.70	$1,528.17
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $160.80 / $174.83 / $260.10	Facility	80	$160.80	$174.83	$260.10
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $112.56 / $121.10 / $182.07	Facility	AS	$112.56	$121.10	$182.07
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