Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.28 / $2,404.46 / $16,467.00	Facility		$1,078.28	$2,404.46	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $851.49 / $1,186.10 / $1,927.79	Facility		$851.49	$1,186.10	$1,927.79
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $182.00 / $235.64 / $326.32	Facility	80	$182.00	$235.64	$326.32
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $127.40 / $164.95 / $228.42	Facility	AS	$127.40	$164.95	$228.42
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