Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $229.09 / $234.42	Facility		$165.96	$229.09	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $245.47	Professional		$131.83	$229.09	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $42.66 / $74.13	Facility		$31.62	$42.66	$74.13
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 $20.89 / $35.48 / $60.26	Facility		$20.89	$35.48	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.92 / $54.95	Professional		$18.62	$26.92	$54.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36