Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,649.75 / $3,854.52 / $6,940.92	Facility		$2,649.75	$3,854.52	$6,940.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $3,854.52 / $3,947.40	Professional		$3,715.20	$3,854.52	$3,947.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,010.34 / $3,947.40 / $3,947.40	Facility		$2,010.34	$3,947.40	$3,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
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 $3,870.00 / $3,870.00 / $4,063.50	Professional		$3,870.00	$3,870.00	$4,063.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,789.52 / $5,789.52 / $5,789.52	Professional		$5,789.52	$5,789.52	$5,789.52