Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.79 / $2,913.65 / $16,467.00	Facility		$1,454.79	$2,913.65	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,108.30 / $1,713.89 / $2,530.01	Facility		$1,108.30	$1,713.89	$2,530.01
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $288.42 / $358.20 / $470.80	Facility	80	$288.42	$358.20	$470.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $196.77 / $250.74 / $329.56	Facility	AS	$196.77	$250.74	$329.56
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