Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,047.13 / $2,041.74	Facility		$263.03	$1,047.13	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $416.87	Professional		$245.47	$302.00	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $316.23 / $1,548.82	Facility		$213.80	$316.23	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $1,819.70	Professional		$302.00	$467.74	$1,819.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $323.59	Professional		$229.09	$229.09	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $338.84	Professional		$229.09	$309.03	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $338.84 / $380.19	Facility		$158.49	$338.84	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $575.44	Professional		$131.83	$158.49	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $229.09 / $229.09	Professional		$102.33	$229.09	$229.09