Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.61 / $1,011.61 / $1,011.61	Facility		$1,011.61	$1,011.61	$1,011.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $915.68 / $1,011.61	Professional		$872.08	$915.68	$1,011.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Facility		$872.08	$872.08	$872.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $284.11 / $310.54	Professional		$60.00	$284.11	$310.54
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Professional		$872.08	$872.08	$872.08