Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,259.21 / $4,506.18 / $16,467.00	Facility		$2,259.21	$4,506.18	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,732.75 / $2,589.00 / $3,912.88	Facility		$1,732.75	$2,589.00	$3,912.88
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $437.93 / $517.79 / $611.54	Facility	80	$437.93	$517.79	$611.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $297.36 / $362.46 / $428.09	Facility	AS	$297.36	$362.46	$428.09
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