Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $86.90	Facility		$79.00	$79.00	$86.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $86.90	Professional		$79.00	$79.00	$86.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $83.74 / $215.53	Facility		$79.00	$83.74	$215.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.63 / $90.63 / $90.63	Professional		$90.63	$90.63	$90.63
United Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $195.94 / $231.21	Professional		$195.94	$195.94	$231.21