Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,382.65 / $4,933.00 / $4,933.00	Facility		$1,382.65	$4,933.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $691.33 / $691.33 / $691.33	Facility	52	$691.33	$691.33	$691.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,916.40 / $5,790.41 / $7,761.88	Facility		$3,916.40	$5,790.41	$7,761.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,125.42 / $4,933.00 / $4,933.00	Facility		$1,125.42	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $691.33 / $691.33 / $691.33	Facility	52	$691.33	$691.33	$691.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,331.37 / $7,350.00 / $10,274.00	Facility		$1,331.37	$7,350.00	$10,274.00