Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,250.44 / $4,495.51 / $16,467.00	Facility		$2,250.44	$4,495.51	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,727.74 / $2,441.00 / $3,903.98	Facility		$1,727.74	$2,441.00	$3,903.98
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $445.36 / $488.20 / $610.11	Facility	80	$445.36	$488.20	$610.11
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $304.89 / $341.74 / $427.07	Facility	AS	$304.89	$341.74	$427.07
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