Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,067.21 / $9,062.00 / $16,467.00	Facility		$2,067.21	$9,062.00	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,570.82 / $2,072.36 / $3,391.53	Facility		$1,570.82	$2,072.36	$3,391.53
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $400.06 / $404.56 / $610.45	Facility	80	$400.06	$404.56	$610.45
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $237.82 / $283.19 / $390.84	Facility	AS	$237.82	$283.19	$390.84
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