Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.63 / $8,960.00 / $16,467.00	Facility		$612.63	$8,960.00	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $522.08 / $673.89 / $1,169.73	Facility		$522.08	$673.89	$1,169.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,798.00 / $19,665.00	Facility		$2,155.00	$12,798.00	$19,665.00