Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.48 / $468.60 / $1,542.04	Facility		$231.48	$468.60	$1,542.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.09 / $242.17 / $320.52	Professional		$194.09	$242.17	$320.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $250.39 / $1,339.16	Facility		$178.86	$250.39	$1,339.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.84 / $433.84 / $519.79	Professional		$433.84	$433.84	$519.79
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $213.68 / $213.68 / $302.70	Professional		$213.68	$213.68	$302.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $149.57 / $558.01	Professional		$124.65	$149.57	$558.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.68 / $213.68 / $213.68	Professional		$213.68	$213.68	$213.68