Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,636.12 / $5,230.96 / $16,467.00	Facility		$2,636.12	$5,230.96	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,184.54 / $3,204.00 / $4,329.76	Facility		$2,184.54	$3,204.00	$4,329.76
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $545.41 / $736.19 / $829.68	Facility	80	$545.41	$736.19	$829.68
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $357.13 / $496.94 / $580.77	Facility	AS	$357.13	$496.94	$580.77
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