Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.41 / $8,609.77 / $36,418.92	Facility		$1,519.41	$8,609.77	$36,418.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $759.71 / $759.71 / $759.71	Facility	52	$759.71	$759.71	$759.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,053.13 / $21,073.44 / $28,707.81	Facility		$18,053.13	$21,073.44	$28,707.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,129.24 / $1,524.47 / $1,677.22	Facility		$1,129.24	$1,524.47	$1,677.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,760.86 / $8,609.77 / $40,137.50	Facility		$1,760.86	$8,609.77	$40,137.50
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $759.71 / $759.71 / $4,101.06	Facility	52	$759.71	$759.71	$4,101.06
United Facility/Professional Facility Modifier Low / Median / High Price $6,850.00 / $11,550.00 / $14,085.00	Facility		$6,850.00	$11,550.00	$14,085.00