Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.98 / $4,230.00 / $9,870.00	Facility		$216.98	$4,230.00	$9,870.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $184.43 / $251.32 / $427.80	Facility		$184.43	$251.32	$427.80
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