Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $4,933.00 / $29,576.77	Facility		$1,272.00	$4,933.00	$29,576.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.85 / $1,258.83 / $1,320.92	Professional		$893.85	$1,258.83	$1,320.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,942.27 / $8,023.98 / $18,843.25	Facility		$5,942.27	$8,023.98	$18,843.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.24 / $1,432.97 / $2,516.67	Professional		$269.24	$1,432.97	$2,516.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.14 / $1,176.71 / $2,097.40	Professional		$728.14	$1,176.71	$2,097.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,030.52 / $4,933.00 / $6,907.00	Facility		$1,030.52	$4,933.00	$6,907.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $994.22 / $1,133.57 / $1,649.78	Professional		$994.22	$1,133.57	$1,649.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $674.10 / $1,131.14	Professional		$68.73	$674.10	$1,131.14
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,359.00 / $12,767.00	Facility		$4,635.00	$10,359.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,030.52 / $1,209.18 / $1,635.36	Professional		$1,030.52	$1,209.18	$1,635.36