Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.57 / $3,776.00 / $9,727.00	Facility		$209.57	$3,776.00	$9,727.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $198.47 / $365.53 / $1,052.03	Facility		$198.47	$365.53	$1,052.03
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00