Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.58 / $4,375.00 / $16,467.00	Facility		$398.58	$4,375.00	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.87 / $404.31 / $661.65	Facility		$302.87	$404.31	$661.65
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