Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,953.29 / $3,890.40 / $16,467.00	Facility		$1,953.29	$3,890.40	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,488.11 / $2,069.00 / $3,377.65	Facility		$1,488.11	$2,069.00	$3,377.65
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $384.36 / $413.80 / $613.20	Facility	80	$384.36	$413.80	$613.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $264.73 / $289.66 / $429.24	Facility	AS	$264.73	$289.66	$429.24
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