Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.38 / $4,698.00 / $11,541.73	Facility		$1,141.38	$4,698.00	$11,541.73
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,875.68 / $10,718.67 / $30,797.34	Facility	50	$2,875.68	$10,718.67	$30,797.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,902.57 / $11,559.29 / $15,746.92	Facility		$9,902.57	$11,559.29	$15,746.92
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $6,258.74 / $7,291.07 / $10,252.99	Facility	50	$6,258.74	$7,291.07	$10,252.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $914.57 / $1,234.67 / $1,358.37	Facility		$914.57	$1,234.67	$1,358.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,038.82 / $4,698.00 / $11,541.73	Facility		$1,038.82	$4,698.00	$11,541.73
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $5,256.97 / $24,466.36 / $31,861.57	Facility	50	$5,256.97	$24,466.36	$31,861.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00