Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.49 / $1,143.94 / $16,467.00	Facility		$489.49	$1,143.94	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $372.45 / $561.44 / $945.58	Facility		$372.45	$561.44	$945.58
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $56.37 / $78.59 / $108.67	Facility	AS	$56.37	$78.59	$108.67
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