Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.80 / $2,056.00 / $4,933.00	Facility		$244.80	$2,056.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $374.98 / $374.98 / $389.40	Facility	54	$374.98	$374.98	$389.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.67 / $298.05 / $419.33	Facility		$252.67	$298.05	$419.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $370.75 / $2,056.00 / $4,933.00	Facility		$370.75	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $374.98 / $374.98 / $374.98	Facility	54	$374.98	$374.98	$374.98
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