Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,358.45 / $5,389.00 / $15,042.02	Facility		$1,358.45	$5,389.00	$15,042.02
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,929.12 / $16,630.22 / $37,053.74	Facility	50	$3,929.12	$16,630.22	$37,053.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,198.34 / $14,239.14 / $19,397.62	Facility		$12,198.34	$14,239.14	$19,397.62
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $8,227.73 / $10,104.00 / $13,152.09	Facility	50	$8,227.73	$10,104.00	$13,152.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,092.59 / $1,475.01 / $1,622.80	Facility		$1,092.59	$1,475.01	$1,622.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,382.90 / $5,389.00 / $9,626.35	Facility		$1,382.90	$5,389.00	$9,626.35
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $3,929.12 / $16,011.04 / $35,117.87	Facility	50	$3,929.12	$16,011.04	$35,117.87
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,359.00 / $12,767.00	Facility		$5,000.00	$10,359.00	$12,767.00