Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,755.00 / $11,576.00	Facility		$988.00	$4,755.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $1,686.00	Professional		$126.00	$126.00	$1,686.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.82 / $298.94 / $317.06	Facility		$280.82	$298.94	$317.06
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 $188.00 / $1,454.00 / $4,429.00	Facility		$188.00	$1,454.00	$4,429.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $164.00 / $164.00	Professional		$164.00	$164.00	$164.00