Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.34 / $4,933.00 / $4,933.00	Facility		$1,090.34	$4,933.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $545.17 / $545.17 / $545.17	Facility	52	$545.17	$545.17	$545.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,128.06 / $4,624.85 / $6,385.05	Facility		$3,128.06	$4,624.85	$6,385.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $884.35 / $4,933.00 / $4,933.00	Facility		$884.35	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $545.17 / $545.17 / $545.17	Facility	52	$545.17	$545.17	$545.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,054.73 / $3,869.00 / $5,525.00	Facility		$1,054.73	$3,869.00	$5,525.00