Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.87 / $1,858.63 / $3,983.85	Facility		$246.87	$1,858.63	$3,983.85
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $123.44 / $123.44 / $123.44	Facility	52	$123.44	$123.44	$123.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,605.92 / $2,374.36 / $3,182.77	Facility		$1,605.92	$2,374.36	$3,182.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $246.87 / $2,647.00 / $3,983.85	Facility		$246.87	$2,647.00	$3,983.85
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $123.44 / $123.44 / $123.44	Facility	52	$123.44	$123.44	$123.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00