Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.91 / $4,933.00 / $4,933.00	Facility		$274.91	$4,933.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $137.46 / $137.46 / $142.74	Facility	52	$137.46	$137.46	$142.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,020.09 / $1,190.75 / $1,622.13	Facility		$1,020.09	$1,190.75	$1,622.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $235.93 / $4,933.00 / $4,933.00	Facility		$235.93	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $137.46 / $137.46 / $137.46	Facility	52	$137.46	$137.46	$137.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00