Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.24 / $9,062.00 / $18,276.00	Facility		$1,076.24	$9,062.00	$18,276.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $817.80 / $1,086.50 / $1,775.61	Facility		$817.80	$1,086.50	$1,775.61
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $208.89 / $212.09 / $320.00	Facility	80	$208.89	$212.09	$320.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $123.88 / $148.46 / $204.79	Facility	AS	$123.88	$148.46	$204.79
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