Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.00 / $6,024.00 / $11,624.00	Facility		$1,449.00	$6,024.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.00 / $10,086.00 / $11,655.00	Professional		$769.00	$10,086.00	$11,655.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
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 / $5,350.00 / $13,093.00	Facility		$677.00	$5,350.00	$13,093.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.62 / $263.62 / $263.62	Professional		$263.62	$263.62	$263.62