Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.34 / $4,375.00 / $16,467.00	Facility		$405.34	$4,375.00	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $308.01 / $411.49 / $671.57	Facility		$308.01	$411.49	$671.57
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