Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,365.16 / $5,128.61	Facility		$630.96	$4,365.16	$5,128.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,995.26 / $1,995.26 / $3,548.13	Facility	50	$1,995.26	$1,995.26	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,023.29	Facility		$676.08	$676.08	$1,023.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,801.89 / $5,128.61	Facility		$630.96	$3,801.89	$5,128.61
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,995.26 / $1,995.26 / $3,548.13	Facility	50	$1,995.26	$1,995.26	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,365.16 / $7,413.10	Facility		$1,819.70	$4,365.16	$7,413.10