Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,543.05 / $2,725.61 / $16,467.00	Facility		$2,543.05	$2,725.61	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,938.16 / $2,902.70 / $4,366.54	Facility		$1,938.16	$2,902.70	$4,366.54
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $494.02 / $587.00 / $832.03	Facility	80	$494.02	$587.00	$832.03
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $343.33 / $410.90 / $582.41	Facility	AS	$343.33	$410.90	$582.41
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