Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $263.03 / $338.84	Facility		$165.96	$263.03	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $363.08	Professional		$134.90	$263.03	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $42.66 / $74.13	Facility		$31.62	$42.66	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $70.79	Professional		$39.81	$39.81	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $44.67 / $93.33	Facility		$29.51	$44.67	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $39.81 / $389.05	Professional		$18.62	$39.81	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $426.58	Professional		$107.15	$107.15	$426.58