Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.00 / $444.91 / $2,027.87	Facility		$281.00	$444.91	$2,027.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.24 / $304.41 / $379.35	Professional		$255.24	$304.41	$379.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.21 / $329.29 / $1,760.88	Facility		$235.21	$329.29	$1,760.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.42 / $570.42 / $683.44	Professional		$570.42	$570.42	$683.44
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $281.00 / $398.08	Professional		$281.00	$281.00	$398.08
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 $163.92 / $196.70 / $733.81	Professional		$163.92	$196.70	$733.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $281.00 / $281.00	Professional		$281.00	$281.00	$281.00