Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.71 / $4,375.00 / $16,467.00	Facility		$364.71	$4,375.00	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $277.13 / $367.72 / $599.01	Facility		$277.13	$367.72	$599.01
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $41.95 / $50.31 / $69.44	Facility	AS	$41.95	$50.31	$69.44
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