Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,321.49 / $9,062.00 / $18,276.00	Facility		$1,321.49	$9,062.00	$18,276.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,642.03 / $8,242.25 / $13,127.70	Facility		$3,642.03	$8,242.25	$13,127.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,011.97 / $1,514.74 / $2,290.23	Facility		$1,011.97	$1,514.74	$2,290.23
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,919.55 / $2,466.00 / $2,840.85	Facility	50	$1,919.55	$2,466.00	$2,840.85
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $255.94 / $328.80 / $378.78	Facility	80	$255.94	$328.80	$378.78
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $177.80 / $230.16 / $265.14	Facility	AS	$177.80	$230.16	$265.14
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