Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,744.02 / $3,403.32 / $16,467.00	Facility		$1,744.02	$3,403.32	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,307.80 / $1,957.82 / $2,957.85	Facility		$1,307.80	$1,957.82	$2,957.85
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $336.60 / $415.60 / $503.07	Facility	80	$336.60	$415.60	$503.07
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $234.64 / $290.92 / $352.15	Facility	AS	$234.64	$290.92	$352.15
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