Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.10 / $521.10 / $521.10	Facility		$521.10	$521.10	$521.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.10 / $521.10 / $1,250.21	Professional		$521.10	$521.10	$1,250.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $107.63 / $144.13	Professional		$91.49	$107.63	$144.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.85 / $125.53 / $180.66	Professional		$64.85	$125.53	$180.66
United Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $80.72 / $764.28	Professional		$72.88	$80.72	$764.28