Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $758.58 / $1,096.48	Facility		$371.54	$758.58	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $446.68	Professional		$316.23	$316.23	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $288.40 / $416.87	Facility		$281.84	$288.40	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85