Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $1,439.80 / $4,933.00	Facility		$96.67	$1,439.80	$4,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,009.06 / $3,009.06 / $3,009.06	Facility	50	$3,009.06	$3,009.06	$3,009.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.32 / $1,338.40 / $1,813.32	Facility		$1,140.32	$1,338.40	$1,813.32
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $769.14 / $839.60 / $1,229.48	Facility	50	$769.14	$839.60	$1,229.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $73.03 / $1,439.80 / $4,933.00	Facility		$73.03	$1,439.80	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $3,009.06 / $3,009.06 / $3,009.06	Facility	50	$3,009.06	$3,009.06	$3,009.06
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00