Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.60 / $556.02 / $16,467.00	Facility		$278.60	$556.02	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $236.81 / $457.53 / $569.00	Facility		$236.81	$457.53	$569.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $432.32 / $791.40 / $913.25	Facility	50	$432.32	$791.40	$913.25
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $57.64 / $105.52 / $121.77	Facility	80	$57.64	$105.52	$121.77
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $37.75 / $68.40 / $85.24	Facility	AS	$37.75	$68.40	$85.24
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