Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.19 / $733.38 / $3,342.67	Facility		$463.19	$733.38	$3,342.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.19 / $501.79 / $555.83	Professional		$463.19	$501.79	$555.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.72 / $542.79 / $2,902.56	Facility		$387.72	$542.79	$2,902.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $940.81 / $1,176.01	Professional		$380.00	$940.81	$1,176.01
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $438.45 / $463.19 / $914.72	Professional		$438.45	$463.19	$914.72
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 $1,157.97 / $1,157.97 / $1,157.97	Facility		$1,157.97	$1,157.97	$1,157.97
United Facility/Professional Professional Modifier Low / Median / High Price $270.19 / $324.23 / $795.14	Professional		$270.19	$324.23	$795.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $399.89 / $463.19 / $463.19	Professional		$399.89	$463.19	$463.19