Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,574.99 / $9,367.03 / $22,521.89	Facility		$3,574.99	$9,367.03	$22,521.89
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $16,273.40 / $25,971.26 / $25,971.26	Facility	22	$16,273.40	$25,971.26	$25,971.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,355.62 / $10,904.30 / $14,773.59	Facility		$9,355.62	$10,904.30	$14,773.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $859.83 / $1,160.77 / $1,277.07	Facility		$859.83	$1,160.77	$1,277.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,415.52 / $8,629.79 / $27,652.13	Facility		$1,415.52	$8,629.79	$27,652.13
Health Alliance Plan Facility/Professional Facility Modifier 22 Low / Median / High Price $24,876.09 / $24,876.09 / $25,971.26	Facility	22	$24,876.09	$24,876.09	$25,971.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $10,359.00 / $12,767.00	Facility		$4,700.00	$10,359.00	$12,767.00