Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.49 / $414.49 / $414.49	Facility		$414.49	$414.49	$414.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.50 / $414.49 / $429.47	Professional		$404.50	$414.49	$429.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Facility		$424.47	$424.47	$424.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $499.42 / $499.42	Professional		$499.42	$499.42	$499.42