Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,182.50 / $4,933.00 / $11,860.14	Facility		$1,182.50	$4,933.00	$11,860.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $947.18 / $1,474.62	Professional		$787.82	$947.18	$1,474.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,301.63 / $5,048.85 / $6,840.38	Facility		$4,301.63	$5,048.85	$6,840.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.57 / $1,157.73 / $2,315.46	Professional		$238.57	$1,157.73	$2,315.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.42 / $1,038.96 / $1,958.12	Professional		$677.42	$1,038.96	$1,958.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $944.52 / $4,933.00 / $11,860.14	Facility		$944.52	$4,933.00	$11,860.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $879.60 / $1,055.52 / $1,533.70	Professional		$879.60	$1,055.52	$1,533.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $641.44 / $1,091.71	Professional		$68.66	$641.44	$1,091.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $935.95 / $1,097.71 / $1,505.28	Professional		$935.95	$1,097.71	$1,505.28