Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,398.61 / $7,253.13 / $14,129.35	Facility		$1,398.61	$7,253.13	$14,129.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,988.15 / $10,549.44 / $14,292.82	Facility		$8,988.15	$10,549.44	$14,292.82
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,176.31 / $7,350.31 / $9,690.91	Facility	50	$5,176.31	$7,350.31	$9,690.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,003.51 / $1,257.85 / $1,509.44	Facility		$1,003.51	$1,257.85	$1,509.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,269.19 / $5,618.64 / $14,129.35	Facility		$1,269.19	$5,618.64	$14,129.35
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