Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,594.00 / $11,576.00	Facility		$988.00	$4,594.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.00 / $3,714.00 / $11,576.00	Professional		$412.00	$3,714.00	$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 $345.00 / $1,916.00 / $4,970.00	Facility		$345.00	$1,916.00	$4,970.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $486.49 / $486.49 / $486.49	Professional		$486.49	$486.49	$486.49