Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.03 / $2,097.42 / $16,467.00	Facility		$742.03	$2,097.42	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $742.03 / $1,031.00 / $1,733.33	Facility		$742.03	$1,031.00	$1,733.33
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $138.74 / $144.34 / $199.26	Facility	AS	$138.74	$144.34	$199.26
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