Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.26 / $2,877.00 / $4,933.00	Facility		$406.26	$2,877.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $203.13 / $203.13 / $4,965.97	Facility	52	$203.13	$203.13	$4,965.97
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $81.25 / $81.25 / $81.25	Facility	53	$81.25	$81.25	$81.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.35 / $4,901.75 / $6,570.66	Facility		$3,315.35	$4,901.75	$6,570.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $360.26 / $1,395.80 / $4,933.00	Facility		$360.26	$1,395.80	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $203.13 / $203.13 / $4,965.97	Facility	52	$203.13	$203.13	$4,965.97
Health Alliance Plan Facility/Professional Facility Modifier 53 Low / Median / High Price $81.25 / $81.25 / $81.25	Facility	53	$81.25	$81.25	$81.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,819.00 / $7,355.00	Facility		$1,450.00	$5,819.00	$7,355.00