Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,632.80 / $12,994.00 / $22,643.71	Facility		$1,632.80	$12,994.00	$22,643.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,209.42 / $9,209.42 / $9,209.42	Facility		$9,209.42	$9,209.42	$9,209.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,309.25 / $1,799.00 / $2,973.26	Facility		$1,309.25	$1,799.00	$2,973.26
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $334.80 / $358.48 / $503.92	Facility	80	$334.80	$358.48	$503.92
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $229.88 / $250.93 / $352.74	Facility	AS	$229.88	$250.93	$352.74
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,107.00 / $8,818.00	Facility		$659.00	$6,107.00	$8,818.00