Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.61 / $3,917.73 / $16,467.00	Facility		$1,749.61	$3,917.73	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,460.38 / $1,847.89 / $3,353.80	Facility		$1,460.38	$1,847.89	$3,353.80
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,590.50 / $2,771.84 / $3,987.69	Facility	50	$2,590.50	$2,771.84	$3,987.69
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $241.78 / $251.36 / $372.18	Facility	AS	$241.78	$251.36	$372.18
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