Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.77 / $2,377.14 / $16,467.00	Facility		$843.77	$2,377.14	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $843.77 / $1,169.00 / $1,960.59	Facility		$843.77	$1,169.00	$1,960.59
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $150.78 / $163.66 / $225.83	Facility	AS	$150.78	$163.66	$225.83
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