Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.68 / $3,567.31 / $16,467.00	Facility		$1,791.68	$3,567.31	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,380.82 / $2,060.42 / $3,095.90	Facility		$1,380.82	$2,060.42	$3,095.90
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $356.65 / $441.20 / $526.59	Facility	80	$356.65	$441.20	$526.59
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $243.11 / $308.83 / $368.62	Facility	AS	$243.11	$308.83	$368.62
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