Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,886.83 / $3,767.20 / $16,467.00	Facility		$1,886.83	$3,767.20	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,439.91 / $2,004.00 / $3,271.07	Facility		$1,439.91	$2,004.00	$3,271.07
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $371.95 / $400.80 / $536.40	Facility	80	$371.95	$400.80	$536.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $255.92 / $280.56 / $375.48	Facility	AS	$255.92	$280.56	$375.48
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