Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,797.44 / $4,933.00 / $16,122.63	Facility		$1,797.44	$4,933.00	$16,122.63
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $898.72 / $898.72 / $933.29	Facility	52	$898.72	$898.72	$933.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,581.20 / $11,245.51 / $15,235.88	Facility		$9,581.20	$11,245.51	$15,235.88
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $6,462.48 / $7,617.94 / $9,935.12	Facility	50	$6,462.48	$7,617.94	$9,935.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,462.38 / $4,933.00 / $8,060.00	Facility		$1,462.38	$4,933.00	$8,060.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $898.72 / $898.72 / $898.72	Facility	52	$898.72	$898.72	$898.72
United Facility/Professional Facility Modifier Low / Median / High Price $5,356.00 / $11,464.00 / $15,011.00	Facility		$5,356.00	$11,464.00	$15,011.00