Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.30 / $2,877.00 / $4,933.00	Facility		$515.30	$2,877.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $386.48 / $401.35 / $435.41	Facility	54	$386.48	$401.35	$435.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,024.15 / $1,202.05 / $1,628.58	Facility		$1,024.15	$1,202.05	$1,628.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $425.37 / $590.99 / $4,933.00	Facility		$425.37	$590.99	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $386.48 / $386.48 / $419.29	Facility	54	$386.48	$386.48	$419.29
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $2,704.00 / $4,504.00	Facility		$645.00	$2,704.00	$4,504.00