Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $87.10 / $87.10	Facility		$63.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $95.50	Professional		$69.18	$87.10	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Professional		$79.43	$79.43	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $70.79	Facility		$69.18	$69.18	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $120.23	Professional		$63.10	$72.44	$120.23