Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.46 / $387.06 / $1,764.17	Facility		$244.46	$387.06	$1,764.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.05 / $264.83 / $305.57	Professional		$222.05	$264.83	$305.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $286.48 / $1,531.56	Facility		$204.63	$286.48	$1,531.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.44 / $496.44 / $594.79	Professional		$496.44	$496.44	$594.79
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $244.46 / $244.46 / $346.32	Professional		$244.46	$244.46	$346.32
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 Facility Modifier Low / Median / High Price $407.43 / $407.43 / $611.14	Facility		$407.43	$407.43	$611.14
United Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $171.12 / $611.15	Professional		$142.60	$171.12	$611.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $244.46 / $244.46 / $244.46	Professional		$244.46	$244.46	$244.46