Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,589.44 / $3,156.44 / $16,467.00	Facility		$1,589.44	$3,156.44	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,217.50 / $1,762.00 / $2,745.55	Facility		$1,217.50	$1,762.00	$2,745.55
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $308.33 / $352.40 / $449.40	Facility	80	$308.33	$352.40	$449.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $185.36 / $246.68 / $314.58	Facility	AS	$185.36	$246.68	$314.58
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