Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,130.40 / $4,933.00 / $4,933.00	Facility		$2,130.40	$4,933.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,065.20 / $1,065.20 / $1,065.20	Facility	52	$1,065.20	$1,065.20	$1,065.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,117.97 / $9,045.43 / $12,488.11	Facility		$6,117.97	$9,045.43	$12,488.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,736.75 / $4,933.00 / $4,933.00	Facility		$1,736.75	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $1,065.20 / $1,065.20 / $1,065.20	Facility	52	$1,065.20	$1,065.20	$1,065.20
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