Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.19 / $4,041.56 / $5,116.79	Facility		$692.19	$4,041.56	$5,116.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,193.12 / $4,294.16	Professional		$4,041.56	$4,193.12	$4,294.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,082.96 / $4,294.16 / $4,294.16	Facility		$1,082.96	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
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 $4,209.96 / $4,209.96 / $4,420.46	Professional		$4,209.96	$4,209.96	$4,420.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $4,209.96	Professional		$4,209.96	$4,209.96	$4,209.96