Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.54 / $3,776.00 / $9,870.00	Facility		$267.54	$3,776.00	$9,870.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $231.49 / $303.49 / $518.55	Facility		$231.49	$303.49	$518.55
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $59.09 / $60.70 / $83.09	Facility	80	$59.09	$60.70	$83.09
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $41.36 / $42.49 / $58.16	Facility	AS	$41.36	$42.49	$58.16
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00