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 $1,201.00 / $1,201.00 / $1,201.00	Professional		$1,201.00	$1,201.00	$1,201.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $630.00 / $630.00	Facility		$630.00	$630.00	$630.00
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 $950.50 / $2,138.63 / $4,811.92	Facility		$950.50	$2,138.63	$4,811.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $353.56 / $353.56 / $353.56	Professional		$353.56	$353.56	$353.56