Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.93 / $2,018.66 / $16,467.00	Facility		$917.93	$2,018.66	$16,467.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $458.97 / $458.97 / $1,009.33	Facility	52	$458.97	$458.97	$1,009.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $740.20 / $974.00 / $1,666.97	Facility		$740.20	$974.00	$1,666.97
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $165.40 / $186.51 / $273.95	Facility	80	$165.40	$186.51	$273.95
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