Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,962.21 / $9,062.00 / $22,073.74	Facility		$2,962.21	$9,062.00	$22,073.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,474.01 / $3,334.00 / $5,704.82	Facility		$2,474.01	$3,334.00	$5,704.82
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $594.00 / $666.80 / $930.90	Facility	80	$594.00	$666.80	$930.90
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $402.71 / $466.76 / $651.63	Facility	AS	$402.71	$466.76	$651.63
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