Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $4,299.00 / $11,550.00	Facility		$1,068.00	$4,299.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
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 $4,072.00 / $12,923.00 / $18,694.00	Facility		$4,072.00	$12,923.00	$18,694.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,616.68 / $1,616.68 / $1,616.68	Professional		$1,616.68	$1,616.68	$1,616.68