Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,735.61 / $5,390.17 / $16,467.00	Facility		$2,735.61	$5,390.17	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,094.64 / $2,548.04 / $4,447.32	Facility		$1,094.64	$2,548.04	$4,447.32
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $254.20 / $370.69 / $731.52	Facility	80	$254.20	$370.69	$731.52
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $177.94 / $259.49 / $512.07	Facility	AS	$177.94	$259.49	$512.07
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