Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,208.30 / $11,909.00 / $25,065.23	Facility		$3,208.30	$11,909.00	$25,065.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,076.38 / $7,581.39 / $11,720.28	Facility		$6,076.38	$7,581.39	$11,720.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,159.29 / $1,484.91 / $2,631.64	Facility		$1,159.29	$1,484.91	$2,631.64
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $292.80 / $303.12 / $449.40	Facility	80	$292.80	$303.12	$449.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $195.30 / $212.18 / $314.58	Facility	AS	$195.30	$212.18	$314.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,959.00 / $23,485.00	Facility		$2,912.00	$16,959.00	$23,485.00