Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.63 / $2,056.00 / $4,933.00	Facility		$631.63	$2,056.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $473.72 / $473.72 / $491.94	Facility	54	$473.72	$473.72	$491.94
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 $503.71 / $2,056.00 / $4,933.00	Facility		$503.71	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $473.72 / $473.72 / $473.72	Facility	54	$473.72	$473.72	$473.72
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