Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.42 / $5,252.99 / $12,205.39	Facility		$729.42	$5,252.99	$12,205.39
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,778.52 / $7,455.03 / $12,900.60	Facility	50	$6,778.52	$7,455.03	$12,900.60
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $195.43 / $195.43 / $195.43	Facility	AS	$195.43	$195.43	$195.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,397.76 / $8,783.94 / $12,064.54	Facility		$7,397.76	$8,783.94	$12,064.54
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,116.18 / $6,032.27 / $7,867.13	Facility	50	$4,116.18	$6,032.27	$7,867.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $729.42 / $5,262.29 / $12,205.39	Facility		$729.42	$5,262.29	$12,205.39
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $6,778.52 / $8,424.37 / $12,900.60	Facility	50	$6,778.52	$8,424.37	$12,900.60
Health Alliance Plan Facility/Professional Facility Modifier AS Low / Median / High Price $195.43 / $195.43 / $195.43	Facility	AS	$195.43	$195.43	$195.43
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $10,192.00 / $12,767.00	Facility		$4,500.00	$10,192.00	$12,767.00