Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.65 / $8,960.00 / $16,467.00	Facility		$1,222.65	$8,960.00	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $984.70 / $1,257.42 / $2,186.29	Facility		$984.70	$1,257.42	$2,186.29
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $224.20 / $246.87 / $361.36	Facility	80	$224.20	$246.87	$361.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $156.94 / $172.81 / $252.96	Facility	AS	$156.94	$172.81	$252.96
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