Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.26 / $5,307.09 / $9,594.00	Facility		$620.26	$5,307.09	$9,594.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $310.14 / $310.14 / $310.14	Facility	52	$310.14	$310.14	$310.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $124.05 / $124.05 / $124.05	Facility	53	$124.05	$124.05	$124.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,538.07 / $7,840.20 / $18,507.21	Facility		$5,538.07	$7,840.20	$18,507.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $578.22 / $5,307.09 / $8,393.60	Facility		$578.22	$5,307.09	$8,393.60
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $310.14 / $310.14 / $310.14	Facility	52	$310.14	$310.14	$310.14
Health Alliance Plan Facility/Professional Facility Modifier 53 Low / Median / High Price $124.05 / $124.05 / $124.05	Facility	53	$124.05	$124.05	$124.05
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $11,152.00 / $23,476.00	Facility		$5,000.00	$11,152.00	$23,476.00