Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.00 / $6,024.00 / $12,854.00	Facility		$1,342.00	$6,024.00	$12,854.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.00 / $1,574.00 / $12,854.00	Professional		$778.00	$1,574.00	$12,854.00
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 $1,170.00 / $5,575.00 / $13,486.00	Facility		$1,170.00	$5,575.00	$13,486.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,446.77 / $1,446.77 / $1,446.77	Professional		$1,446.77	$1,446.77	$1,446.77