Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,885.08 / $9,770.95 / $16,475.63	Facility		$3,885.08	$9,770.95	$16,475.63
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $835.38 / $835.38 / $1,942.54	Facility	52	$835.38	$835.38	$1,942.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,033.09 / $5,645.83 / $11,474.27	Facility		$4,033.09	$5,645.83	$11,474.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,140.00 / $1,788.25 / $3,177.64	Facility		$1,140.00	$1,788.25	$3,177.64
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,710.00 / $2,682.38 / $3,954.46	Facility	50	$1,710.00	$2,682.38	$3,954.46
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $228.00 / $357.65 / $527.26	Facility	80	$228.00	$357.65	$527.26
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $159.60 / $250.36 / $369.08	Facility	AS	$159.60	$250.36	$369.08
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00