Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.80 / $2,877.00 / $4,933.00	Facility		$366.80	$2,877.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $183.40 / $183.40 / $183.40	Facility	52	$183.40	$183.40	$183.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,164.95 / $7,041.87 / $16,885.08	Facility		$5,164.95	$7,041.87	$16,885.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $318.45 / $2,877.00 / $4,933.00	Facility		$318.45	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $183.40 / $183.40 / $183.40	Facility	52	$183.40	$183.40	$183.40
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