Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.79 / $6,853.00 / $15,837.95	Facility		$776.79	$6,853.00	$15,837.95
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $388.40 / $388.40 / $388.40	Facility	52	$388.40	$388.40	$388.40
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $155.36 / $155.36 / $155.36	Facility	53	$155.36	$155.36	$155.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,961.33 / $11,913.28 / $29,543.53	Facility		$8,961.33	$11,913.28	$29,543.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $720.24 / $4,933.00 / $11,746.39	Facility		$720.24	$4,933.00	$11,746.39
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $388.40 / $388.40 / $388.40	Facility	52	$388.40	$388.40	$388.40
Health Alliance Plan Facility/Professional Facility Modifier 53 Low / Median / High Price $155.36 / $155.36 / $155.36	Facility	53	$155.36	$155.36	$155.36
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $11,152.00 / $25,000.00	Facility		$5,000.00	$11,152.00	$25,000.00