Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.75 / $758.75 / $2,491.53	Facility		$758.75	$758.75	$2,491.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.75 / $785.65 / $1,046.85	Professional		$758.75	$785.65	$1,046.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $42.61 / $408.88	Facility		$30.44	$42.61	$408.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $702.64 / $841.84	Professional		$5.00	$702.64	$841.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $215.25 / $215.25	Facility		$215.25	$215.25	$215.25
United Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $18.78 / $18.78	Professional		$18.78	$18.78	$18.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00