Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $380.19 / $676.08	Facility		$245.47	$380.19	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $363.08 / $407.38	Facility		$165.96	$363.08	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $169.82	Professional		$85.11	$112.20	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $239.88 / $239.88	Facility		$234.42	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $60.26	Professional		$34.67	$39.81	$60.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11