Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.81 / $1,924.00 / $4,933.00	Facility		$253.81	$1,924.00	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.85 / $7,213.60 / $10,224.07	Facility	50	$0.85	$7,213.60	$10,224.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,013.02 / $9,339.45 / $12,653.49	Facility		$8,013.02	$9,339.45	$12,653.49
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,029.22 / $5,858.77 / $8,579.40	Facility	50	$5,029.22	$5,858.77	$8,579.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.41 / $222.65 / $300.63	Facility		$202.41	$222.65	$300.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $225.25 / $1,924.00 / $4,933.00	Facility		$225.25	$1,924.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $0.85 / $7,213.60 / $48,301.76	Facility	50	$0.85	$7,213.60	$48,301.76
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00