Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.43 / $361.68 / $1,648.52	Facility		$228.43	$361.68	$1,648.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.43 / $247.47 / $274.12	Professional		$228.43	$247.47	$274.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.21 / $267.69 / $1,430.88	Facility		$191.21	$267.69	$1,430.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.37 / $463.80 / $579.75	Professional		$437.37	$463.80	$579.75
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $216.23 / $228.43 / $451.12	Professional		$216.23	$228.43	$451.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $380.72 / $380.72 / $571.08	Facility		$380.72	$380.72	$571.08
United Facility/Professional Professional Modifier Low / Median / High Price $133.25 / $159.90 / $392.14	Professional		$133.25	$159.90	$392.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.21 / $228.43 / $228.43	Professional		$197.21	$228.43	$228.43