Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.79 / $104.79 / $514.08	Facility		$104.79	$104.79	$514.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $104.79 / $237.60	Professional		$104.79	$104.79	$237.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $42.61 / $842.72	Facility		$30.44	$42.61	$842.72
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 $283.41 / $283.41 / $425.12	Facility		$283.41	$283.41	$425.12
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