Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.05 / $2,877.00 / $5,824.35	Facility		$134.05	$2,877.00	$5,824.35
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $3,181.87 / $3,181.87 / $3,181.87	Facility	52	$3,181.87	$3,181.87	$3,181.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,576.22 / $4,246.33 / $5,832.23	Facility		$3,576.22	$4,246.33	$5,832.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $110.56 / $2,877.00 / $4,933.00	Facility		$110.56	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $3,181.87 / $3,181.87 / $5,075.43	Facility	52	$3,181.87	$3,181.87	$5,075.43
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