Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,529.51 / $9,062.00 / $18,239.68	Facility		$1,529.51	$9,062.00	$18,239.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,166.10 / $1,731.00 / $2,647.05	Facility		$1,166.10	$1,731.00	$2,647.05
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $285.24 / $346.20 / $505.90	Facility	80	$285.24	$346.20	$505.90
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $194.72 / $242.34 / $354.13	Facility	AS	$194.72	$242.34	$354.13
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