Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $4,897.79 / $16,595.87	Facility		$575.44	$4,897.79	$16,595.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $288.40 / $489.78	Facility		$190.55	$288.40	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13