Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,211.15 / $7,179.96 / $16,467.00	Facility		$3,211.15	$7,179.96	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,682.84 / $3,554.00 / $6,179.89	Facility		$2,682.84	$3,554.00	$6,179.89
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $640.80 / $742.00 / $977.34	Facility	80	$640.80	$742.00	$977.34
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $448.57 / $497.56 / $684.14	Facility	AS	$448.57	$497.56	$684.14
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