Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.68 / $286.24 / $16,467.00	Facility		$145.68	$286.24	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.13 / $161.94 / $246.22	Facility		$110.13	$161.94	$246.22
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