Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.99 / $247.34 / $4,933.00	Facility		$118.99	$247.34	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $89.24 / $92.68 / $122.68	Facility	54	$89.24	$92.68	$122.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.16 / $137.02 / $184.72	Facility		$116.16	$137.02	$184.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $114.67 / $171.74 / $4,933.00	Facility		$114.67	$171.74	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $89.24 / $89.24 / $118.14	Facility	54	$89.24	$89.24	$118.14
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