Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.30 / $3,316.43 / $45,815.85	Facility		$335.30	$3,316.43	$45,815.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.08 / $387.08 / $683.88	Facility		$387.08	$387.08	$683.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,239.60 / $1,584.34 / $2,832.19	Facility		$1,239.60	$1,584.34	$2,832.19
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,178.53 / $2,252.51 / $3,702.00	Facility	50	$2,178.53	$2,252.51	$3,702.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $290.47 / $300.33 / $493.60	Facility	80	$290.47	$300.33	$493.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $202.24 / $210.23 / $345.52	Facility	AS	$202.24	$210.23	$345.52
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