Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.08 / $4,623.81 / $58,601.15	Facility		$766.08	$4,623.81	$58,601.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,271.03 / $7,056.09 / $12,933.02	Facility		$3,271.03	$7,056.09	$12,933.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $584.89 / $894.24 / $1,318.28	Facility		$584.89	$894.24	$1,318.28
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $148.74 / $193.40 / $224.01	Facility	80	$148.74	$193.40	$224.01
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $103.49 / $135.38 / $156.81	Facility	AS	$103.49	$135.38	$156.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,798.00 / $19,665.00	Facility		$2,155.00	$12,798.00	$19,665.00