Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.50 / $1,993.79 / $4,933.00	Facility		$230.50	$1,993.79	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $964.56 / $2,085.10 / $4,728.18	Facility	50	$964.56	$2,085.10	$4,728.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,615.28 / $3,052.82 / $4,158.77	Facility		$2,615.28	$3,052.82	$4,158.77
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,418.89 / $1,925.58 / $2,711.88	Facility	50	$1,418.89	$1,925.58	$2,711.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $204.04 / $1,958.00 / $4,933.00	Facility		$204.04	$1,958.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $836.62 / $2,378.63 / $4,728.18	Facility	50	$836.62	$2,378.63	$4,728.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,050.00 / $5,819.00 / $8,339.00	Facility		$3,050.00	$5,819.00	$8,339.00