Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.20 / $2,877.00 / $4,933.00	Facility		$974.20	$2,877.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $730.65 / $730.65 / $758.75	Facility	54	$730.65	$730.65	$758.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,394.84 / $1,645.34 / $2,218.06	Facility		$1,394.84	$1,645.34	$2,218.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $802.97 / $2,877.00 / $4,933.00	Facility		$802.97	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $730.65 / $730.65 / $730.65	Facility	54	$730.65	$730.65	$730.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,166.63 / $3,260.00 / $6,036.00	Facility		$1,166.63	$3,260.00	$6,036.00