Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,073.80 / $10,000.00	Facility		$1,047.13	$4,073.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $549.54 / $1,230.27	Professional		$64.57	$549.54	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $12,302.69 / $18,620.87	Facility		$3,235.94	$12,302.69	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $1,621.81	Professional		$977.24	$1,621.81	$1,621.81