Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $125.89 / $549.54	Facility		$104.71	$125.89	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $275.42	Professional		$104.71	$213.80	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $288.40	Facility		$31.62	$46.77	$288.40
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 $66.07 / $173.78 / $263.03	Facility		$66.07	$173.78	$263.03
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