Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.83 / $3,169.15 / $16,467.00	Facility		$1,305.83	$3,169.15	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,119.80 / $1,463.77 / $2,633.61	Facility		$1,119.80	$1,463.77	$2,633.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $21,721.00 / $33,299.00	Facility		$3,340.00	$21,721.00	$33,299.00