Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.81 / $2,056.00 / $4,933.00	Facility		$508.81	$2,056.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $393.15 / $393.15 / $408.27	Facility	54	$393.15	$393.15	$408.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,200.07 / $1,408.53 / $1,908.33	Facility		$1,200.07	$1,408.53	$1,908.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $399.18 / $2,056.00 / $4,933.00	Facility		$399.18	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $393.15 / $393.15 / $393.15	Facility	54	$393.15	$393.15	$393.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,166.63 / $3,260.00 / $6,036.00	Facility		$1,166.63	$3,260.00	$6,036.00