Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,079.12 / $4,143.93 / $16,467.00	Facility		$2,079.12	$4,143.93	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,624.93 / $2,429.44 / $3,410.63	Facility		$1,624.93	$2,429.44	$3,410.63
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $411.89 / $510.52 / $592.53	Facility	80	$411.89	$510.52	$592.53
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $281.67 / $357.37 / $414.77	Facility	AS	$281.67	$357.37	$414.77
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