Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.03 / $4,797.00 / $4,933.00	Facility		$117.03	$4,797.00	$4,933.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.40 / $61.39 / $118.61	Facility		$31.40	$61.39	$118.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.46 / $111.32 / $122.47	Facility		$82.46	$111.32	$122.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $135.69 / $4,797.00 / $4,933.00	Facility		$135.69	$4,797.00	$4,933.00
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00