Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.34 / $3,804.98 / $5,757.00	Facility		$571.34	$3,804.98	$5,757.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,252.21 / $3,115.27 / $4,728.18	Facility	50	$1,252.21	$3,115.27	$4,728.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,134.56 / $4,826.27 / $6,574.71	Facility		$4,134.56	$4,826.27	$6,574.71
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,613.17 / $3,805.25 / $4,457.82	Facility	50	$2,613.17	$3,805.25	$4,457.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $458.83 / $4,638.42 / $5,757.00	Facility		$458.83	$4,638.42	$5,757.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,252.21 / $2,883.19 / $4,728.18	Facility	50	$1,252.21	$2,883.19	$4,728.18
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