Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $35.00 / $35.00	Facility		$21.00	$35.00	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $38.47 / $85.00	Professional		$38.47	$38.47	$85.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $40.00 / $60.00	Professional		$35.00	$40.00	$60.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $14.06 / $14.06	Professional		$14.06	$14.06	$14.06