Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.65 / $4,112.00 / $4,933.00	Facility		$525.65	$4,112.00	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,205.30 / $1,382.86 / $6,460.50	Facility	50	$1,205.30	$1,382.86	$6,460.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,357.58 / $2,752.01 / $3,748.99	Facility		$2,357.58	$2,752.01	$3,748.99
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,279.08 / $1,735.84 / $2,541.91	Facility	50	$1,279.08	$1,735.84	$2,541.91
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,150.26 / $1,150.26 / $1,150.26	Professional	50	$1,150.26	$1,150.26	$1,150.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $383.18 / $3,916.00 / $4,933.00	Facility		$383.18	$3,916.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,205.30 / $2,345.15 / $4,616.49	Facility	50	$1,205.30	$2,345.15	$4,616.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00