Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.85 / $16,467.00 / $18,064.55	Facility		$1,392.85	$16,467.00	$18,064.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,074.77 / $1,601.78 / $2,412.14	Facility		$1,074.77	$1,601.78	$2,412.14
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,025.14 / $2,527.50 / $3,555.00	Facility	50	$2,025.14	$2,527.50	$3,555.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $270.02 / $337.00 / $474.00	Facility	80	$270.02	$337.00	$474.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $184.80 / $235.90 / $331.80	Facility	AS	$184.80	$235.90	$331.80
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