Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,555.13 / $5,696.82 / $16,467.00	Facility		$2,555.13	$5,696.82	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,132.75 / $2,810.64 / $4,896.67	Facility		$2,132.75	$2,810.64	$4,896.67
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $505.41 / $591.21 / $807.64	Facility	80	$505.41	$591.21	$807.64
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $353.79 / $388.28 / $565.35	Facility	AS	$353.79	$388.28	$565.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $6,074.00 / $8,973.00	Facility		$2,284.00	$6,074.00	$8,973.00