Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,402.30 / $5,422.17 / $16,467.00	Facility		$2,402.30	$5,422.17	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,006.56 / $2,509.35 / $4,643.30	Facility		$2,006.56	$2,509.35	$4,643.30
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $480.20 / $499.42 / $735.87	Facility	80	$480.20	$499.42	$735.87
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $326.58 / $349.60 / $515.11	Facility	AS	$326.58	$349.60	$515.11
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