Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,225.30 / $9,062.00 / $25,168.24	Facility		$2,225.30	$9,062.00	$25,168.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,590.65 / $2,225.30 / $3,824.87	Facility		$1,590.65	$2,225.30	$3,824.87
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $395.60 / $425.69 / $650.36	Facility	80	$395.60	$425.69	$650.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $256.33 / $294.49 / $455.25	Facility	AS	$256.33	$294.49	$455.25
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