Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.79 / $1,918.88 / $4,933.00	Facility		$249.79	$1,918.88	$4,933.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $39.65 / $99.56 / $248.83	Facility	53	$39.65	$99.56	$248.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $787.59 / $1,164.45 / $1,607.64	Facility		$787.59	$1,164.45	$1,607.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $358.25 / $1,958.00 / $4,933.00	Facility		$358.25	$1,958.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 53 Low / Median / High Price $78.90 / $169.28 / $248.83	Facility	53	$78.90	$169.28	$248.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00