Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.58 / $2,877.00 / $4,933.00	Facility		$199.58	$2,877.00	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,372.44 / $5,372.44 / $5,372.44	Facility	50	$5,372.44	$5,372.44	$5,372.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,125.10 / $1,313.35 / $1,789.14	Facility		$1,125.10	$1,313.35	$1,789.14
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $758.89 / $894.57 / $1,166.68	Facility	50	$758.89	$894.57	$1,166.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.69 / $198.03 / $217.88	Facility		$146.69	$198.03	$217.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $2,877.00 / $4,933.00	Facility		$178.68	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $5,372.44 / $5,372.44 / $5,372.44	Facility	50	$5,372.44	$5,372.44	$5,372.44
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00