Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.70 / $1,646.19 / $4,933.00	Facility		$24.70	$1,646.19	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $12.35 / $12.35 / $12.35	Facility	52	$12.35	$12.35	$12.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,296.73 / $1,917.22 / $2,569.98	Facility		$1,296.73	$1,917.22	$2,569.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $1,646.19 / $4,933.00	Facility		$24.56	$1,646.19	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $12.35 / $12.35 / $12.35	Facility	52	$12.35	$12.35	$12.35
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