Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $4,732.00 / $11,576.00	Facility		$1,068.00	$4,732.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.00 / $4,729.00 / $11,576.00	Professional		$551.00	$4,729.00	$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 $3,794.00 / $12,413.00 / $18,694.00	Facility		$3,794.00	$12,413.00	$18,694.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $384.92 / $384.92 / $384.92	Professional		$384.92	$384.92	$384.92