Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,434.76 / $20,256.95 / $44,903.89	Facility		$3,434.76	$20,256.95	$44,903.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,725.54 / $9,209.42 / $15,338.70	Facility		$4,725.54	$9,209.42	$15,338.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,211.42 / $1,663.45 / $2,747.55	Facility		$1,211.42	$1,663.45	$2,747.55
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $308.60 / $331.90 / $466.15	Facility	80	$308.60	$331.90	$466.15
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $212.10 / $232.33 / $326.30	Facility	AS	$212.10	$232.33	$326.30
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