Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.44 / $4,933.00 / $8,361.00	Facility		$722.44	$4,933.00	$8,361.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,622.07 / $7,622.07 / $7,622.07	Facility	50	$7,622.07	$7,622.07	$7,622.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,451.80 / $8,698.49 / $11,849.74	Facility		$7,451.80	$8,698.49	$11,849.74
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,020.96 / $6,172.39 / $7,617.39	Facility	50	$4,020.96	$6,172.39	$7,617.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $674.53 / $4,933.00 / $11,944.50	Facility		$674.53	$4,933.00	$11,944.50
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $7,622.07 / $7,622.07 / $7,622.07	Facility	50	$7,622.07	$7,622.07	$7,622.07
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,359.00 / $12,767.00	Facility		$5,000.00	$10,359.00	$12,767.00