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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $525.00 / $525.00	Facility		$525.00	$525.00	$525.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.75 / $413.75 / $413.75	Professional		$413.75	$413.75	$413.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $82.25 / $82.25	Professional		$82.25	$82.25	$82.25