Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $26.80 / $26.80	Facility		$26.80	$26.80	$26.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $103.14 / $287.64	Facility		$26.80	$103.14	$287.64
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