Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $39.81 / $39.81	Facility		$23.99	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $39.81	Professional		$23.99	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $50.12	Professional		$32.36	$39.81	$50.12
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 $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78