Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,623.53 / $14,210.50 / $30,546.00	Facility		$1,623.53	$14,210.50	$30,546.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,301.55 / $1,806.54 / $2,956.50	Facility		$1,301.55	$1,806.54	$2,956.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $331.00 / $358.97 / $501.11	Facility	80	$331.00	$358.97	$501.11
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $227.08 / $251.28 / $350.78	Facility	AS	$227.08	$251.28	$350.78
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