Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.04 / $4,933.00 / $4,933.00	Facility		$311.04	$4,933.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $155.52 / $155.52 / $155.52	Facility	52	$155.52	$155.52	$155.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $892.29 / $1,319.26 / $1,768.42	Facility		$892.29	$1,319.26	$1,768.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $254.37 / $4,933.00 / $4,933.00	Facility		$254.37	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $155.52 / $155.52 / $155.52	Facility	52	$155.52	$155.52	$155.52
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