Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,577.75 / $4,933.00 / $4,933.00	Facility		$1,577.75	$4,933.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $788.88 / $788.88 / $788.88	Facility	52	$788.88	$788.88	$788.88
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $315.55 / $315.55 / $315.55	Facility	53	$315.55	$315.55	$315.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,494.37 / $6,644.93 / $9,173.98	Facility		$4,494.37	$6,644.93	$9,173.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,276.44 / $4,933.00 / $4,933.00	Facility		$1,276.44	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $788.88 / $788.88 / $788.88	Facility	52	$788.88	$788.88	$788.88
Health Alliance Plan Facility/Professional Facility Modifier 53 Low / Median / High Price $315.55 / $315.55 / $315.55	Facility	53	$315.55	$315.55	$315.55
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00