Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,099.09 / $20,625.15 / $44,903.90	Facility		$4,099.09	$20,625.15	$44,903.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,875.96 / $10,755.54 / $18,458.66	Facility		$4,875.96	$10,755.54	$18,458.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,452.47 / $1,979.56 / $3,284.39	Facility		$1,452.47	$1,979.56	$3,284.39
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $356.00 / $395.91 / $556.29	Facility	80	$356.00	$395.91	$556.29
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $245.56 / $277.14 / $389.41	Facility	AS	$245.56	$277.14	$389.41
United Facility/Professional Facility Modifier Low / Median / High Price $7,902.53 / $17,146.00 / $24,161.00	Facility		$7,902.53	$17,146.00	$24,161.00