Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.62 / $1,192.42 / $4,933.00	Facility		$991.62	$1,192.42	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $495.81 / $495.81 / $495.81	Facility	52	$495.81	$495.81	$495.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,825.13 / $4,176.97 / $5,599.10	Facility		$2,825.13	$4,176.97	$5,599.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $801.43 / $1,192.42 / $4,933.00	Facility		$801.43	$1,192.42	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $495.81 / $495.81 / $495.81	Facility	52	$495.81	$495.81	$495.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $8,911.00	Facility		$2,500.00	$7,780.00	$8,911.00