Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,341.26 / $5,240.42 / $16,467.00	Facility		$2,341.26	$5,240.42	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,953.10 / $2,598.00 / $4,490.02	Facility		$1,953.10	$2,598.00	$4,490.02
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $466.53 / $519.60 / $794.58	Facility	80	$466.53	$519.60	$794.58
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $318.39 / $363.72 / $556.21	Facility	AS	$318.39	$363.72	$556.21
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