Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.13 / $4,933.00 / $13,471.65	Facility		$1,289.13	$4,933.00	$13,471.65
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,933.00 / $13,471.65 / $21,368.06	Facility	50	$4,933.00	$13,471.65	$21,368.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,778.20 / $10,246.82 / $13,958.98	Facility		$8,778.20	$10,246.82	$13,958.98
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,762.53 / $6,463.23 / $9,464.56	Facility	50	$4,762.53	$6,463.23	$9,464.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,034.80 / $1,396.98 / $1,536.95	Facility		$1,034.80	$1,396.98	$1,536.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,289.13 / $4,933.00 / $10,627.64	Facility		$1,289.13	$4,933.00	$10,627.64
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $4,933.00 / $18,966.00 / $21,600.54	Facility	50	$4,933.00	$18,966.00	$21,600.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00