Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,605.76 / $7,799.00 / $21,886.00	Facility		$4,605.76	$7,799.00	$21,886.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,499.78 / $4,606.62 / $8,019.90	Facility		$3,499.78	$4,606.62	$8,019.90
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $892.79 / $921.32 / $1,368.82	Facility	80	$892.79	$921.32	$1,368.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $530.28 / $644.92 / $875.26	Facility	AS	$530.28	$644.92	$875.26
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