Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.70 / $118.70 / $148.38	Facility		$118.70	$118.70	$148.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.70 / $118.70 / $148.38	Professional		$118.70	$118.70	$148.38
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 $143.50 / $143.50 / $215.25	Facility		$143.50	$143.50	$215.25
United Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $21.46 / $26.83	Professional		$18.78	$21.46	$26.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $291.38	Professional		$225.00	$225.00	$291.38