Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.41 / $7,799.00 / $21,886.00	Facility		$1,249.41	$7,799.00	$21,886.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $1,387.65 / $2,276.29	Facility		$951.00	$1,387.65	$2,276.29
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $241.74 / $277.52 / $412.33	Facility	80	$241.74	$277.52	$412.33
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $143.76 / $194.27 / $263.64	Facility	AS	$143.76	$194.27	$263.64
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00