Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,307.37 / $7,799.00 / $21,886.00	Facility		$3,307.37	$7,799.00	$21,886.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,513.17 / $3,307.37 / $5,762.93	Facility		$2,513.17	$3,307.37	$5,762.93
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $641.69 / $661.42 / $982.69	Facility	80	$641.69	$661.42	$982.69
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $380.86 / $463.00 / $628.35	Facility	AS	$380.86	$463.00	$628.35
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