Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.66 / $474.70 / $4,933.00	Facility		$51.66	$474.70	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $25.83 / $25.83 / $25.83	Facility	52	$25.83	$25.83	$25.83
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.33 / $10.33 / $10.33	Facility	53	$10.33	$10.33	$10.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.81 / $628.09 / $867.14	Facility		$424.81	$628.09	$867.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $474.70 / $4,933.00	Facility		$40.95	$474.70	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $25.83 / $25.83 / $25.83	Facility	52	$25.83	$25.83	$25.83
Health Alliance Plan Facility/Professional Facility Modifier 53 Low / Median / High Price $10.33 / $10.33 / $10.33	Facility	53	$10.33	$10.33	$10.33
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $1,209.00 / $1,844.00	Facility		$125.00	$1,209.00	$1,844.00