Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $2,056.00 / $4,933.00	Facility		$0.84	$2,056.00	$4,933.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,636.17 / $4,267.80 / $5,782.19	Facility		$3,636.17	$4,267.80	$5,782.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $727.26 / $944.71 / $1,133.66	Facility		$727.26	$944.71	$1,133.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $1,027.46 / $4,933.00	Facility		$0.84	$1,027.46	$4,933.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00