Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $50.12 / $64.57	Professional		$22.91	$50.12	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $16.98 / $16.98	Facility		$15.85	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.88 / $38.90	Professional		$32.36	$33.88	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.85 / $21.88	Professional		$13.49	$15.85	$21.88