Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.14 / $4,112.00 / $4,933.00	Facility		$258.14	$4,112.00	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $836.62 / $836.62 / $836.62	Facility	50	$836.62	$836.62	$836.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,429.07 / $4,002.76 / $5,452.85	Facility		$3,429.07	$4,002.76	$5,452.85
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,974.82 / $2,726.43 / $3,555.74	Facility	50	$1,974.82	$2,726.43	$3,555.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $4,112.00 / $4,933.00	Facility		$240.34	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $836.62 / $836.62 / $836.62	Facility	50	$836.62	$836.62	$836.62
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