Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,343.81 / $4,676.20 / $16,467.00	Facility		$2,343.81	$4,676.20	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,785.01 / $2,519.00 / $4,054.13	Facility		$1,785.01	$2,519.00	$4,054.13
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $453.95 / $503.80 / $705.20	Facility	80	$453.95	$503.80	$705.20
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