Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.82 / $4,230.00 / $9,062.00	Facility		$219.82	$4,230.00	$9,062.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $219.82 / $963.90 / $1,766.41	Facility		$219.82	$963.90	$1,766.41
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00