Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,186.50 / $21,527.47 / $31,776.16	Facility		$3,186.50	$21,527.47	$31,776.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,726.82 / $9,434.29 / $16,900.34	Facility		$3,726.82	$9,434.29	$16,900.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,282.25 / $1,626.00 / $2,899.31	Facility		$1,282.25	$1,626.00	$2,899.31
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $319.00 / $329.60 / $477.94	Facility	80	$319.00	$329.60	$477.94
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $219.24 / $230.72 / $334.56	Facility	AS	$219.24	$230.72	$334.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,354.02 / $15,451.00 / $23,485.00	Facility		$4,354.02	$15,451.00	$23,485.00