Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.16 / $2,056.00 / $4,933.00	Facility		$236.16	$2,056.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $177.12 / $177.12 / $183.93	Facility	54	$177.12	$177.12	$183.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.67 / $296.56 / $401.79	Facility		$252.67	$296.56	$401.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $202.75 / $2,056.00 / $4,933.00	Facility		$202.75	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $177.12 / $177.12 / $177.12	Facility	54	$177.12	$177.12	$177.12
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00