Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.75 / $231.75 / $245.00	Facility		$231.75	$231.75	$245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.75 / $231.75 / $245.00	Professional		$231.75	$231.75	$245.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $42.61 / $130.40	Facility		$30.44	$42.61	$130.40
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 / $21.46 / $55.00	Professional		$18.78	$21.46	$55.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $194.25	Professional		$150.00	$150.00	$194.25