Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,986.09 / $5,876.89 / $16,467.00	Facility		$2,986.09	$5,876.89	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,232.26 / $3,155.00 / $5,135.89	Facility		$2,232.26	$3,155.00	$5,135.89
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $575.32 / $631.00 / $928.76	Facility	80	$575.32	$631.00	$928.76
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $402.72 / $441.70 / $650.13	Facility	AS	$402.72	$441.70	$650.13
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