Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.00 / $391.00 / $794.00	Facility		$307.00	$391.00	$794.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.03 / $854.03 / $854.03	Professional		$854.03	$854.03	$854.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.97 / $117.07 / $124.16	Facility		$109.97	$117.07	$124.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $21.35 / $21.35	Professional		$21.35	$21.35	$21.35