Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.31 / $9,062.00 / $16,467.00	Facility		$1,208.31	$9,062.00	$16,467.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,791.66 / $3,791.66 / $3,791.66	Facility		$3,791.66	$3,791.66	$3,791.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,011.96 / $1,329.14 / $2,407.00	Facility		$1,011.96	$1,329.14	$2,407.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $242.47 / $277.41 / $473.25	Facility	80	$242.47	$277.41	$473.25
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $169.73 / $184.38 / $331.27	Facility	AS	$169.73	$184.38	$331.27
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