Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $6,798.80 / $14,523.43	Facility		$930.00	$6,798.80	$14,523.43
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $465.00 / $465.00 / $465.00	Facility	52	$465.00	$465.00	$465.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,508.21 / $8,143.90 / $11,243.45	Facility		$5,508.21	$8,143.90	$11,243.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $687.11 / $858.89 / $1,055.03	Facility		$687.11	$858.89	$1,055.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $5,647.95 / $15,129.33	Facility		$930.00	$5,647.95	$15,129.33
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $465.00 / $465.00 / $465.00	Facility	52	$465.00	$465.00	$465.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,200.00 / $10,192.00 / $12,767.00	Facility		$4,200.00	$10,192.00	$12,767.00