Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,062.23 / $5,757.00 / $22,775.11	Facility		$2,062.23	$5,757.00	$22,775.11
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,031.11 / $1,031.11 / $1,070.78	Facility	52	$1,031.11	$1,031.11	$1,070.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,203.69 / $10,802.42 / $14,635.56	Facility		$9,203.69	$10,802.42	$14,635.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,701.91 / $5,757.00 / $22,775.11	Facility		$1,701.91	$5,757.00	$22,775.11
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $1,031.11 / $1,031.11 / $1,031.11	Facility	52	$1,031.11	$1,031.11	$1,031.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $9,680.00 / $23,945.00	Facility		$4,069.00	$9,680.00	$23,945.00