Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.36 / $4,933.00 / $5,757.00	Facility		$641.36	$4,933.00	$5,757.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,915.72 / $2,826.61 / $14,024.57	Facility	50	$1,915.72	$2,826.61	$14,024.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,835.85 / $7,979.50 / $10,870.27	Facility		$6,835.85	$7,979.50	$10,870.27
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,688.60 / $5,033.10 / $7,088.37	Facility	50	$3,688.60	$5,033.10	$7,088.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $515.92 / $4,933.00 / $5,757.00	Facility		$515.92	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,730.84 / $2,826.61 / $14,024.57	Facility	50	$1,730.84	$2,826.61	$14,024.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,637.00 / $7,849.00 / $9,202.00	Facility		$4,637.00	$7,849.00	$9,202.00