Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,481.47 / $2,970.77 / $16,467.00	Facility		$1,481.47	$2,970.77	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,128.53 / $1,703.69 / $2,580.86	Facility		$1,128.53	$1,703.69	$2,580.86
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $286.85 / $364.80 / $431.20	Facility	80	$286.85	$364.80	$431.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $196.84 / $255.36 / $301.83	Facility	AS	$196.84	$255.36	$301.83
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