Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.36 / $722.00 / $722.00	Facility		$656.36	$722.00	$722.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.90 / $722.00 / $739.40	Professional		$695.90	$722.00	$739.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Facility		$739.40	$739.40	$739.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Professional		$739.40	$739.40	$739.40
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 $85.80 / $85.80 / $150.15	Professional		$85.80	$85.80	$150.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $659.00 / $659.00 / $659.00	Professional		$659.00	$659.00	$659.00