Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.61 / $2,056.00 / $4,933.00	Facility		$301.61	$2,056.00	$4,933.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.21 / $1,297.10 / $1,767.02	Facility		$1,111.21	$1,297.10	$1,767.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.47 / $298.98 / $328.94	Facility		$221.47	$298.98	$328.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $259.98 / $2,056.00 / $4,933.00	Facility		$259.98	$2,056.00	$4,933.00
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00