Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.82 / $2,877.00 / $4,933.00	Facility		$318.82	$2,877.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $159.41 / $159.41 / $159.41	Facility	52	$159.41	$159.41	$159.41
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $63.76 / $63.76 / $63.76	Facility	53	$63.76	$63.76	$63.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,028.98 / $1,475.17 / $3,537.19	Facility		$1,028.98	$1,475.17	$3,537.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $262.52 / $2,877.00 / $4,933.00	Facility		$262.52	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $159.41 / $159.41 / $159.41	Facility	52	$159.41	$159.41	$159.41
Health Alliance Plan Facility/Professional Facility Modifier 53 Low / Median / High Price $63.76 / $63.76 / $63.76	Facility	53	$63.76	$63.76	$63.76
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