Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.50 / $1,801.27 / $2,380.00	Facility		$995.50	$1,801.27	$2,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.61 / $1,801.27 / $1,801.27	Professional		$101.61	$1,801.27	$1,801.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Facility		$143.26	$143.26	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
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 $2,170.19 / $2,170.19 / $2,170.19	Professional		$2,170.19	$2,170.19	$2,170.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $792.50 / $792.50 / $792.50	Professional		$792.50	$792.50	$792.50