Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.48 / $3,776.00 / $9,870.00	Facility		$203.48	$3,776.00	$9,870.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.48 / $288.86 / $488.05	Facility		$203.48	$288.86	$488.05
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $51.74 / $59.60 / $97.31	Facility	80	$51.74	$59.60	$97.31
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $36.22 / $41.72 / $68.11	Facility	AS	$36.22	$41.72	$68.11
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