Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.51 / $3,813.26 / $5,141.10	Facility		$585.51	$3,813.26	$5,141.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,978.34 / $1,978.34 / $3,531.01	Facility	50	$1,978.34	$1,978.34	$3,531.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,155.72 / $6,009.18 / $8,141.49	Facility		$5,155.72	$6,009.18	$8,141.49
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,235.90 / $4,070.74 / $5,301.01	Facility	50	$3,235.90	$4,070.74	$5,301.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $685.25 / $3,535.27 / $5,141.10	Facility		$685.25	$3,535.27	$5,141.10
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,978.34 / $1,978.34 / $3,531.01	Facility	50	$1,978.34	$1,978.34	$3,531.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,708.00 / $8,884.00	Facility		$1,450.00	$5,708.00	$8,884.00