Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,646.11 / $5,948.94 / $16,467.00	Facility		$2,646.11	$5,948.94	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,208.13 / $2,854.71 / $5,100.10	Facility		$2,208.13	$2,854.71	$5,100.10
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $3,984.03 / $4,123.16 / $6,055.17	Facility	50	$3,984.03	$4,123.16	$6,055.17
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $531.20 / $570.94 / $807.36	Facility	80	$531.20	$570.94	$807.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $371.84 / $384.83 / $565.15	Facility	AS	$371.84	$384.83	$565.15
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