Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $512.86 / $512.86	Facility		$165.96	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $630.96	Professional		$512.86	$512.86	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $275.42	Facility		$181.97	$245.47	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $60.26	Professional		$39.81	$39.81	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $93.33 / $199.53	Facility		$77.62	$93.33	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11