Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.36 / $3,525.03 / $16,467.00	Facility		$1,557.36	$3,525.03	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,303.03 / $1,725.50 / $2,829.91	Facility		$1,303.03	$1,725.50	$2,829.91
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $308.20 / $349.87 / $550.00	Facility	80	$308.20	$349.87	$550.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $215.74 / $241.57 / $385.00	Facility	AS	$215.74	$241.57	$385.00
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