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 / $15,740.00 / $17,785.00	Facility		$323.00	$15,740.00	$17,785.00
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 $5,834.00 / $15,562.00 / $34,339.00	Facility		$5,834.00	$15,562.00	$34,339.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.77 / $870.77 / $870.77	Professional		$870.77	$870.77	$870.77