Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,475.55 / $3,220.14 / $16,467.00	Facility		$1,475.55	$3,220.14	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,059.00 / $1,458.23 / $2,659.85	Facility		$1,059.00	$1,458.23	$2,659.85
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $211.80 / $273.60 / $437.02	Facility	80	$211.80	$273.60	$437.02
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