Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.38 / $602.45 / $4,933.00	Facility		$399.38	$602.45	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $299.54 / $299.54 / $451.84	Facility	54	$299.54	$299.54	$451.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.51 / $1,028.26 / $1,446.68	Facility		$881.51	$1,028.26	$1,446.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $399.38 / $869.43 / $4,933.00	Facility		$399.38	$869.43	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $299.54 / $299.54 / $451.84	Facility	54	$299.54	$299.54	$451.84
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00