Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.91 / $751.56 / $1,669.23	Facility		$363.91	$751.56	$1,669.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.91 / $751.56 / $751.56	Professional		$363.91	$751.56	$751.56
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 $477.77 / $477.77 / $477.77	Professional		$477.77	$477.77	$477.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00