Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $3,401.00 / $11,550.00	Facility		$988.00	$3,401.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.00 / $1,203.00 / $11,550.00	Professional		$412.00	$1,203.00	$11,550.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,774.00 / $8,301.00 / $12,989.00	Facility		$2,774.00	$8,301.00	$12,989.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.88 / $59.88 / $59.88	Professional		$59.88	$59.88	$59.88