Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,413.10 / $17,782.79	Facility		$1,230.27	$7,413.10	$17,782.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,606.93 / $9,332.54 / $15,848.93	Facility	50	$6,606.93	$9,332.54	$15,848.93
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $35.48 / $35.48 / $35.48	Facility	AS	$35.48	$35.48	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,737.80 / $1,737.80	Facility		$724.44	$1,737.80	$1,737.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,949.84	Facility		$1,047.13	$1,288.25	$1,949.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,079.46 / $14,791.08	Facility		$1,230.27	$7,079.46	$14,791.08
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $6,606.93 / $9,120.11 / $15,848.93	Facility	50	$6,606.93	$9,120.11	$15,848.93
Health Alliance Plan Facility/Professional Facility Modifier AS Low / Median / High Price $35.48 / $35.48 / $35.48	Facility	AS	$35.48	$35.48	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,000.00 / $20,417.38	Facility		$5,623.41	$10,000.00	$20,417.38