Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,655.78 / $6,034.56 / $16,467.00	Facility		$2,655.78	$6,034.56	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,129.79 / $2,961.03 / $4,830.91	Facility		$2,129.79	$2,961.03	$4,830.91
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $513.79 / $592.21 / $851.60	Facility	80	$513.79	$592.21	$851.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $359.66 / $414.54 / $596.12	Facility	AS	$359.66	$414.54	$596.12
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