Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.58 / $6,366.05 / $10,187.28	Facility		$811.58	$6,366.05	$10,187.28
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $405.79 / $405.79 / $405.79	Facility	52	$405.79	$405.79	$405.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,007.98 / $11,664.65 / $15,803.74	Facility		$10,007.98	$11,664.65	$15,803.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $626.80 / $846.19 / $930.98	Facility		$626.80	$846.19	$930.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $802.57 / $6,269.87 / $9,564.35	Facility		$802.57	$6,269.87	$9,564.35
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $405.79 / $405.79 / $405.79	Facility	52	$405.79	$405.79	$405.79
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,359.00 / $12,767.00	Facility		$5,000.00	$10,359.00	$12,767.00