Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,884.03 / $4,897.79	Facility		$512.86	$2,884.03	$4,897.79
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility	52	$5,011.87	$5,011.87	$5,011.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $478.63	Facility		$295.12	$295.12	$478.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,348.96 / $4,897.79	Facility		$363.08	$1,348.96	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility	52	$5,011.87	$5,011.87	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,786.30 / $10,232.93	Facility		$630.96	$4,786.30	$10,232.93