Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $831.76 / $2,630.27	Facility		$165.96	$831.76	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,047.13	Professional		$831.76	$977.24	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $234.42	Facility		$31.62	$46.77	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,288.25	Professional		$741.31	$912.01	$1,288.25
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 $66.07 / $93.33 / $204.17	Facility		$66.07	$93.33	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $34.67 / $1,445.44	Professional		$18.62	$34.67	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25