Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,122.17 / $4,933.00 / $4,933.00	Facility		$2,122.17	$4,933.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,061.08 / $1,061.08 / $1,061.08	Facility	52	$1,061.08	$1,061.08	$1,061.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,095.16 / $9,011.70 / $12,441.55	Facility		$6,095.16	$9,011.70	$12,441.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,731.10 / $4,933.00 / $4,933.00	Facility		$1,731.10	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $1,061.08 / $1,061.08 / $1,061.08	Facility	52	$1,061.08	$1,061.08	$1,061.08
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