Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.67 / $2,056.00 / $4,933.00	Facility		$878.67	$2,056.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $659.00 / $659.00 / $684.35	Facility	54	$659.00	$659.00	$684.35
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 $714.01 / $2,056.00 / $4,933.00	Facility		$714.01	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $659.00 / $659.00 / $659.00	Facility	54	$659.00	$659.00	$659.00
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