Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.92 / $5,866.00 / $12,251.90	Facility		$247.92	$5,866.00	$12,251.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.68 / $272.70 / $427.86	Facility		$187.68	$272.70	$427.86
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00