Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.65 / $13,571.79 / $20,243.00	Facility		$599.65	$13,571.79	$20,243.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $455.66 / $605.54 / $1,044.93	Facility		$455.66	$605.54	$1,044.93
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $115.88 / $121.11 / $179.93	Facility	80	$115.88	$121.11	$179.93
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $68.92 / $84.78 / $115.05	Facility	AS	$68.92	$84.78	$115.05
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