Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.00 / $5,839.00 / $11,576.00	Facility		$1,203.00	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $6,038.00 / $11,576.00	Professional		$630.00	$6,038.00	$11,576.00
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 $2,197.30 / $2,197.30 / $2,197.30	Professional		$2,197.30	$2,197.30	$2,197.30