Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,736.00 / $8,529.00 / $17,509.00	Facility		$2,736.00	$8,529.00	$17,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.00 / $10,086.00 / $14,827.00	Professional		$778.00	$10,086.00	$14,827.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $7,461.00 / $12,373.00	Facility		$400.00	$7,461.00	$12,373.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $5,417.00 / $13,093.00	Facility		$677.00	$5,417.00	$13,093.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.61 / $1,148.61 / $1,148.61	Professional		$1,148.61	$1,148.61	$1,148.61