Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,757.00 / $21,251.87	Facility		$2,126.00	$5,757.00	$21,251.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,443.29 / $33,384.06 / $45,230.10	Facility		$28,443.29	$33,384.06	$45,230.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,509.27 / $1,931.75 / $2,318.10	Facility		$1,509.27	$1,931.75	$2,318.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,699.87 / $4,933.00 / $21,251.87	Facility		$1,699.87	$4,933.00	$21,251.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00