Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,341.46 / $8,783.00 / $16,639.00	Facility		$1,341.46	$8,783.00	$16,639.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,636.58 / $2,231.71	Facility		$1,120.00	$1,636.58	$2,231.71
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $277.54 / $351.55 / $376.16	Facility	80	$277.54	$351.55	$376.16
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $181.20 / $246.09 / $263.31	Facility	AS	$181.20	$246.09	$263.31
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,107.00 / $8,973.00	Facility		$659.00	$6,107.00	$8,973.00