Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,204.44 / $5,443.87 / $16,467.00	Facility		$2,204.44	$5,443.87	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,878.57 / $2,604.00 / $4,493.07	Facility		$1,878.57	$2,604.00	$4,493.07
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $400.45 / $520.79 / $738.81	Facility	80	$400.45	$520.79	$738.81
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $280.31 / $364.56 / $517.16	Facility	AS	$280.31	$364.56	$517.16
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