Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,949.84 / $4,897.79	Facility		$398.11	$1,949.84	$4,897.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $100.00 / $125.89 / $251.19	Facility	53	$100.00	$125.89	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,862.09 / $4,897.79	Facility		$354.81	$1,862.09	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 53 Low / Median / High Price $125.89 / $194.98 / $489.78	Facility	53	$125.89	$194.98	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,454.71 / $5,623.41	Facility		$588.84	$2,454.71	$5,623.41