Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.82 / $2,056.00 / $4,933.00	Facility		$129.82	$2,056.00	$4,933.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $1,634.08 / $2,213.92	Facility		$1,402.00	$1,634.08	$2,213.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.99 / $122.84 / $135.15	Facility		$90.99	$122.84	$135.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $2,056.00 / $4,933.00	Facility		$162.22	$2,056.00	$4,933.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00