Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $1,252.00 / $4,558.00	Facility		$873.00	$1,252.00	$4,558.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $679.00 / $1,081.00 / $3,267.00	Facility		$679.00	$1,081.00	$3,267.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $290.00 / $290.00 / $290.00	Facility		$290.00	$290.00	$290.00
United Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $1,101.00 / $2,436.00	Facility		$662.00	$1,101.00	$2,436.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $1,200.00 / $5,716.00	Facility		$602.00	$1,200.00	$5,716.00