Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.80 / $3,639.55 / $16,467.00	Facility		$1,399.80	$3,639.55	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,323.68 / $1,802.00 / $3,012.92	Facility		$1,323.68	$1,802.00	$3,012.92
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