Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.75 / $2,191.15 / $6,906.00	Facility		$789.75	$2,191.15	$6,906.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,196.53 / $7,125.48 / $8,301.04	Facility	50	$1,196.53	$7,125.48	$8,301.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,065.84 / $3,578.76 / $4,875.25	Facility		$3,065.84	$3,578.76	$4,875.25
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,067.89 / $2,507.17 / $3,179.09	Facility	50	$2,067.89	$2,507.17	$3,179.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $716.58 / $995.08 / $4,933.00	Facility		$716.58	$995.08	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $3,944.59 / $8,301.04 / $8,301.04	Facility	50	$3,944.59	$8,301.04	$8,301.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00