Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.15 / $258.14 / $269.57	Facility		$217.15	$258.14	$269.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.15 / $261.25 / $349.07	Professional		$217.15	$261.25	$349.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.39 / $318.39 / $318.39	Facility		$318.39	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $270.64 / $318.39	Professional		$270.64	$270.64	$318.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $39.03 / $70.25	Professional		$37.34	$39.03	$70.25
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $26.59 / $49.70	Professional		$23.17	$26.59	$49.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $300.39 / $300.39	Professional		$300.39	$300.39	$300.39