Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.91 / $2,877.00 / $4,933.00	Facility		$750.91	$2,877.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $375.46 / $375.46 / $389.90	Facility	52	$375.46	$375.46	$389.90
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $563.17 / $563.17 / $584.84	Facility	54	$563.17	$563.17	$584.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,627.32 / $1,910.00 / $2,587.75	Facility		$1,627.32	$1,910.00	$2,587.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $594.98 / $2,877.00 / $4,933.00	Facility		$594.98	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $375.46 / $375.46 / $375.46	Facility	52	$375.46	$375.46	$375.46
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $563.17 / $563.17 / $563.17	Facility	54	$563.17	$563.17	$563.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00