Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.56 / $4,112.00 / $4,933.00	Facility		$331.56	$4,112.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.78 / $165.78 / $165.78	Facility	52	$165.78	$165.78	$165.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,108.63 / $1,639.11 / $2,197.19	Facility		$1,108.63	$1,639.11	$2,197.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $278.33 / $4,112.00 / $4,933.00	Facility		$278.33	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $165.78 / $165.78 / $165.78	Facility	52	$165.78	$165.78	$165.78
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