Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.14 / $2,877.00 / $6,188.01	Facility		$192.14	$2,877.00	$6,188.01
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.51 / $96.07 / $176.30	Facility	52	$92.51	$96.07	$176.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,331.89 / $1,554.71 / $2,117.94	Facility		$1,331.89	$1,554.71	$2,117.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.99 / $184.94 / $203.47	Facility		$136.99	$184.94	$203.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $313.27 / $2,877.00 / $6,188.01	Facility		$313.27	$2,877.00	$6,188.01
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $92.51 / $92.51 / $169.77	Facility	52	$92.51	$92.51	$169.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00