Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.00 / $6,024.00 / $11,624.00	Facility		$1,203.00	$6,024.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.00 / $10,086.00 / $11,655.00	Professional		$769.00	$10,086.00	$11,655.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $10,000.00	Facility		$400.00	$400.00	$10,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.18 / $174.75 / $260.36	Professional		$130.18	$174.75	$260.36
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,916.00 / $4,970.00	Facility		$345.00	$1,916.00	$4,970.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $139.80 / $139.80	Professional		$139.80	$139.80	$139.80