Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.00 / $307.00 / $307.00	Facility		$307.00	$307.00	$307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $398.00 / $398.00	Professional		$398.00	$398.00	$398.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.55 / $508.60 / $630.00	Facility		$501.55	$508.60	$630.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.33 / $772.33 / $772.33	Professional		$772.33	$772.33	$772.33
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 $528.75 / $528.75 / $1,189.69	Facility		$528.75	$528.75	$1,189.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $343.13 / $343.13 / $343.13	Professional		$343.13	$343.13	$343.13