Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.52 / $167.70 / $167.70	Facility		$94.52	$167.70	$167.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $167.70 / $167.70	Professional		$94.52	$167.70	$167.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $42.61 / $408.88	Facility		$30.44	$42.61	$408.88
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 $215.25 / $215.25 / $215.25	Facility		$215.25	$215.25	$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 $225.00 / $225.00 / $291.38	Professional		$225.00	$225.00	$291.38