Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.07 / $4,375.00 / $16,467.00	Facility		$167.07	$4,375.00	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.06 / $172.83 / $284.99	Facility		$127.06	$172.83	$284.99
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $242.49 / $256.31 / $386.66	Facility	50	$242.49	$256.31	$386.66
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $32.33 / $34.17 / $51.55	Facility	80	$32.33	$34.17	$51.55
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $19.20 / $23.92 / $33.02	Facility	AS	$19.20	$23.92	$33.02
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00