Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.77 / $2,765.95 / $16,467.00	Facility		$1,383.77	$2,765.95	$16,467.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,608.58 / $9,413.49 / $16,208.45	Facility		$3,608.58	$9,413.49	$16,208.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $876.00 / $1,383.77 / $2,275.27	Facility		$876.00	$1,383.77	$2,275.27
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,462.50 / $2,022.83 / $2,815.34	Facility	50	$1,462.50	$2,022.83	$2,815.34
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $195.00 / $269.70 / $375.38	Facility	80	$195.00	$269.70	$375.38
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $136.50 / $187.67 / $262.77	Facility	AS	$136.50	$187.67	$262.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $19,627.00 / $25,620.00	Facility		$3,028.00	$19,627.00	$25,620.00