Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,377.87 / $4,933.00 / $4,933.00	Facility		$2,377.87	$4,933.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,188.94 / $1,188.94 / $1,188.94	Facility	52	$1,188.94	$1,188.94	$1,188.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,868.29 / $10,154.79 / $13,612.21	Facility		$6,868.29	$10,154.79	$13,612.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,943.01 / $4,933.00 / $4,933.00	Facility		$1,943.01	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $1,188.94 / $1,188.94 / $1,188.94	Facility	52	$1,188.94	$1,188.94	$1,188.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,869.00 / $5,525.00	Facility		$1,713.00	$3,869.00	$5,525.00