Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.02 / $4,375.00 / $16,467.00	Facility		$46.02	$4,375.00	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $52.05 / $79.12	Facility		$35.07	$52.05	$79.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $26,459.00 / $63,302.00	Facility		$4,252.00	$26,459.00	$63,302.00