Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.57 / $3,121.37 / $5,756.00	Facility		$659.57	$3,121.37	$5,756.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,071.67 / $9,920.94 / $15,542.21	Facility	50	$5,071.67	$9,920.94	$15,542.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,033.76 / $9,363.62 / $12,686.23	Facility		$8,033.76	$9,363.62	$12,686.23
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,304.81 / $6,343.12 / $8,260.15	Facility	50	$4,304.81	$6,343.12	$8,260.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $635.19 / $2,603.94 / $5,756.00	Facility		$635.19	$2,603.94	$5,756.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $5,071.67 / $10,790.53 / $15,499.62	Facility	50	$5,071.67	$10,790.53	$15,499.62
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,702.00 / $12,726.00	Facility		$4,069.00	$8,702.00	$12,726.00