Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,897.79 / $39,810.72	Facility		$2,187.76	$4,897.79	$39,810.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $3,890.45	Facility		$2,089.30	$2,570.40	$3,890.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,897.79 / $21,379.62	Facility		$2,187.76	$4,897.79	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $13,182.57 / $46,773.51	Facility		$8,128.31	$13,182.57	$46,773.51