Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.41 / $1,963.18 / $2,737.03	Facility		$1,645.41	$1,963.18	$2,737.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,707.11 / $1,748.25	Professional		$1,645.41	$1,707.11	$1,748.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.33 / $1,748.25 / $1,748.25	Facility		$1,092.33	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
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 $1,713.97 / $1,713.97 / $1,799.67	Professional		$1,713.97	$1,713.97	$1,799.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $1,713.97	Professional		$1,713.97	$1,713.97	$1,713.97