Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.56 / $4,165.00 / $16,467.00	Facility		$240.56	$4,165.00	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $238.32 / $306.35 / $475.08	Facility		$238.32	$306.35	$475.08
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $59.00 / $66.31 / $85.50	Facility	80	$59.00	$66.31	$85.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $39.49 / $46.43 / $59.85	Facility	AS	$39.49	$46.43	$59.85
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