Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.10 / $826.10 / $2,499.00	Facility		$826.10	$826.10	$2,499.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.10 / $826.10 / $1,050.00	Professional		$826.10	$826.10	$1,050.00
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 $736.38 / $920.47 / $1,300.00	Professional		$736.38	$920.47	$1,300.00
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 Professional Modifier Low / Median / High Price $18.78 / $26.83 / $1,430.00	Professional		$18.78	$26.83	$1,430.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $1,165.50	Professional		$900.00	$900.00	$1,165.50