Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.47 / $3,288.49 / $16,467.00	Facility		$1,469.47	$3,288.49	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,177.08 / $1,565.59 / $2,688.07	Facility		$1,177.08	$1,565.59	$2,688.07
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,095.50 / $2,323.50 / $3,347.21	Facility	50	$2,095.50	$2,323.50	$3,347.21
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $279.39 / $309.80 / $446.29	Facility	80	$279.39	$309.80	$446.29
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $195.58 / $216.86 / $312.41	Facility	AS	$195.58	$216.86	$312.41
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