Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.11 / $4,375.00 / $16,467.00	Facility		$504.11	$4,375.00	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $383.06 / $510.27 / $844.25	Facility		$383.06	$510.27	$844.25
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $97.84 / $99.76 / $150.47	Facility	80	$97.84	$99.76	$150.47
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $58.00 / $69.83 / $96.35	Facility	AS	$58.00	$69.83	$96.35
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