Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.22 / $12,994.00 / $21,886.00	Facility		$1,464.22	$12,994.00	$21,886.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,173.53 / $1,611.68 / $2,813.35	Facility		$1,173.53	$1,611.68	$2,813.35
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $287.39 / $322.33 / $569.07	Facility	80	$287.39	$322.33	$569.07
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $195.02 / $225.64 / $398.35	Facility	AS	$195.02	$225.64	$398.35
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