Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,308.83 / $4,618.66 / $16,467.00	Facility		$2,308.83	$4,618.66	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,775.88 / $2,706.89 / $4,015.38	Facility		$1,775.88	$2,706.89	$4,015.38
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $458.52 / $562.60 / $682.86	Facility	80	$458.52	$562.60	$682.86
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $312.63 / $393.82 / $478.00	Facility	AS	$312.63	$393.82	$478.00
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