Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,952.19 / $6,461.22 / $16,467.00	Facility		$2,952.19	$6,461.22	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,365.53 / $3,055.79 / $5,343.35	Facility		$2,365.53	$3,055.79	$5,343.35
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $473.20 / $611.16 / $876.88	Facility	80	$473.20	$611.16	$876.88
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $331.24 / $400.40 / $613.82	Facility	AS	$331.24	$400.40	$613.82
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