Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $4,073.80 / $5,754.40	Facility		$478.63	$4,073.80	$5,754.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $4,073.80 / $5,754.40	Facility		$478.63	$4,073.80	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,456.54 / $43,651.58	Facility		$2,884.03	$6,456.54	$43,651.58