Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $23.44 / $67.61	Facility		$22.91	$23.44	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.91 / $25.70	Professional		$21.88	$22.91	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $85.11	Facility		$4.79	$4.79	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $141.25	Professional		$70.79	$102.33	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Facility		$3.72	$3.72	$3.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.61 / $54.95	Professional		$3.47	$6.61	$54.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33