Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.72 / $1,484.00 / $2,615.81	Facility		$908.72	$1,484.00	$2,615.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.89 / $897.01 / $908.72	Professional		$531.89	$897.01	$908.72
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 $431.25 / $431.25 / $431.25	Professional		$431.25	$431.25	$431.25
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