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 $7,368.00 / $15,379.00 / $31,158.00	Facility		$7,368.00	$15,379.00	$31,158.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $486.49 / $486.49 / $486.49	Professional		$486.49	$486.49	$486.49