Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.94 / $122.94 / $150.75	Facility		$122.94	$122.94	$150.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.94 / $122.94 / $195.18	Professional		$122.94	$122.94	$195.18
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 $118.94 / $118.94 / $148.68	Professional		$118.94	$118.94	$148.68
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 $143.50 / $143.50 / $215.25	Facility		$143.50	$143.50	$215.25
United Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $26.83 / $237.60	Professional		$18.78	$26.83	$237.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $453.25	Professional		$350.00	$350.00	$453.25