Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $263.62 / $321.77	Facility		$135.19	$263.62	$321.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $263.62 / $345.58	Professional		$135.19	$263.62	$345.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $42.61 / $130.40	Facility		$30.44	$42.61	$130.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $109.45 / $136.81	Professional		$109.45	$109.45	$136.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $49.47 / $49.47 / $74.20	Facility		$49.47	$49.47	$74.20
United Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $26.83 / $520.00	Professional		$18.78	$26.83	$520.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $139.86	Professional		$108.00	$108.00	$139.86