Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.52 / $483.74 / $2,204.84	Facility		$305.52	$483.74	$2,204.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.52 / $330.98 / $366.62	Professional		$305.52	$330.98	$366.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.81 / $1,260.71 / $1,915.08	Facility		$355.81	$1,260.71	$1,915.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.96 / $620.74 / $775.93	Professional		$150.96	$620.74	$775.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $289.20 / $305.52 / $603.35	Professional		$289.20	$305.52	$603.35
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 $509.20 / $509.20 / $763.80	Facility		$509.20	$509.20	$763.80
United Facility/Professional Professional Modifier Low / Median / High Price $178.22 / $213.86 / $662.74	Professional		$178.22	$213.86	$662.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.77 / $305.52 / $305.52	Professional		$263.77	$305.52	$305.52