Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $1,303.44	Facility		$1,227.04	$1,227.04	$1,303.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.04 / $1,227.04 / $1,507.00	Professional		$1,227.04	$1,227.04	$1,507.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.42 / $90.42 / $90.42	Professional		$90.42	$90.42	$90.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
United Facility/Professional Facility Modifier Low / Median / High Price $634.44 / $634.44 / $634.44	Facility		$634.44	$634.44	$634.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00