Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.10 / $3,019.21 / $16,467.00	Facility		$1,516.10	$3,019.21	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,189.83 / $1,718.19 / $2,483.09	Facility		$1,189.83	$1,718.19	$2,483.09
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,196.40 / $2,577.29 / $3,254.07	Facility	50	$2,196.40	$2,577.29	$3,254.07
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $292.85 / $343.64 / $433.88	Facility	80	$292.85	$343.64	$433.88
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $205.00 / $240.55 / $303.70	Facility	AS	$205.00	$240.55	$303.70
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