Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.50 / $1,370.00 / $4,933.00	Facility		$894.50	$1,370.00	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,397.19 / $3,140.53 / $13,950.77	Facility	50	$2,397.19	$3,140.53	$13,950.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,117.86 / $14,145.20 / $19,269.65	Facility		$12,117.86	$14,145.20	$19,269.65
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $6,978.73 / $8,922.15 / $13,065.33	Facility	50	$6,978.73	$8,922.15	$13,065.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $910.60 / $1,370.00 / $4,933.00	Facility		$910.60	$1,370.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $2,397.19 / $3,140.53 / $14,063.62	Facility	50	$2,397.19	$3,140.53	$14,063.62
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,847.00 / $10,652.00	Facility		$5,000.00	$8,847.00	$10,652.00