Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.73 / $869.03 / $1,371.99	Facility		$436.73	$869.03	$1,371.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.18 / $433.26 / $450.36	Professional		$314.18	$433.26	$450.36
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 $52.02 / $52.02 / $52.02	Professional		$52.02	$52.02	$52.02
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