Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.56 / $4,933.00 / $4,933.00	Facility		$973.56	$4,933.00	$4,933.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $486.78 / $486.78 / $486.78	Facility	52	$486.78	$486.78	$486.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,546.72 / $4,140.09 / $5,639.94	Facility		$3,546.72	$4,140.09	$5,639.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $781.09 / $4,933.00 / $4,933.00	Facility		$781.09	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $486.78 / $486.78 / $486.78	Facility	52	$486.78	$486.78	$486.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00