Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,862.09 / $3,019.95	Facility		$741.31	$1,862.09	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $954.99	Professional		$512.86	$512.86	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $954.99	Facility		$630.96	$630.96	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49