Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,845.82 / $3,683.37 / $16,467.00	Facility		$1,845.82	$3,683.37	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,419.09 / $2,122.69 / $3,202.46	Facility		$1,419.09	$2,122.69	$3,202.46
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $358.64 / $450.60 / $553.20	Facility	80	$358.64	$450.60	$553.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $244.30 / $315.42 / $387.24	Facility	AS	$244.30	$315.42	$387.24
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