Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.75 / $1,847.04 / $6,463.61	Facility		$502.75	$1,847.04	$6,463.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,485.65 / $2,397.21 / $14,024.57	Facility	50	$1,485.65	$2,397.21	$14,024.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,028.65 / $4,695.53 / $6,361.70	Facility		$4,028.65	$4,695.53	$6,361.70
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,303.96 / $3,313.74 / $4,148.38	Facility	50	$2,303.96	$3,313.74	$4,148.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $502.75 / $3,848.00 / $5,756.00	Facility		$502.75	$3,848.00	$5,756.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,366.54 / $2,397.21 / $14,024.57	Facility	50	$1,366.54	$2,397.21	$14,024.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,400.00 / $7,849.00 / $9,202.00	Facility		$3,400.00	$7,849.00	$9,202.00