Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.26 / $2,877.00 / $4,933.00	Facility		$969.26	$2,877.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $726.95 / $726.95 / $754.91	Facility	54	$726.95	$726.95	$754.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,394.84 / $1,637.13 / $2,218.06	Facility		$1,394.84	$1,637.13	$2,218.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $782.73 / $2,877.00 / $4,933.00	Facility		$782.73	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $726.95 / $726.95 / $726.95	Facility	54	$726.95	$726.95	$726.95
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