Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $218.78	Professional		$93.33	$165.96	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $218.78	Facility		$31.62	$46.77	$218.78
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 $21.88 / $93.33 / $204.17	Facility		$21.88	$93.33	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $34.67 / $239.88	Professional		$18.62	$34.67	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87