Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.87 / $4,933.00 / $8,083.50	Facility		$627.87	$4,933.00	$8,083.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,347.28 / $2,397.19 / $22,131.98	Facility	50	$1,347.28	$2,397.19	$22,131.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,232.47 / $8,442.46 / $11,500.97	Facility		$7,232.47	$8,442.46	$11,500.97
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,571.16 / $5,914.56 / $7,797.96	Facility	50	$4,571.16	$5,914.56	$7,797.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $604.63 / $5,296.00 / $8,083.50	Facility		$604.63	$5,296.00	$8,083.50
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,347.28 / $6,782.50 / $22,131.98	Facility	50	$1,347.28	$6,782.50	$22,131.98
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