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 / $11,233.00	Facility		$323.00	$323.00	$11,233.00
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 $2,637.00 / $8,197.00 / $12,748.00	Facility		$2,637.00	$8,197.00	$12,748.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.04 / $392.04 / $392.04	Professional		$392.04	$392.04	$392.04