Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,228.35 / $12,075.00 / $28,756.35	Facility		$1,228.35	$12,075.00	$28,756.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.79 / $5,404.43 / $8,988.09	Facility		$1,111.79	$5,404.43	$8,988.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $959.03 / $1,300.00 / $2,223.33	Facility		$959.03	$1,300.00	$2,223.33
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $248.14 / $274.44 / $368.86	Facility	80	$248.14	$274.44	$368.86
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $173.70 / $183.52 / $258.20	Facility	AS	$173.70	$183.52	$258.20
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