Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $891.25 / $1,737.80	Facility		$251.19	$891.25	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $354.81	Professional		$213.80	$257.04	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $302.00 / $1,318.26	Facility		$204.17	$302.00	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $1,548.82	Professional		$208.93	$389.05	$1,548.82
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $302.00	Professional		$194.98	$194.98	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $288.40	Professional		$194.98	$263.03	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $288.40 / $323.59	Facility		$134.90	$288.40	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $501.19	Professional		$125.89	$151.36	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $194.98 / $194.98	Professional		$87.10	$194.98	$194.98