Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.71 / $4,112.00 / $4,933.00	Facility		$681.71	$4,112.00	$4,933.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $136.34 / $136.34 / $141.38	Facility	53	$136.34	$136.34	$141.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,923.05 / $32,677.45 / $75,299.28	Facility		$23,923.05	$32,677.45	$75,299.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $548.57 / $4,112.00 / $4,933.00	Facility		$548.57	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 53 Low / Median / High Price $136.34 / $136.34 / $136.34	Facility	53	$136.34	$136.34	$136.34
United Facility/Professional Facility Modifier Low / Median / High Price $7,489.00 / $12,457.00 / $15,469.00	Facility		$7,489.00	$12,457.00	$15,469.00