Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.00 / $425.16 / $1,486.83	Facility		$167.00	$425.16	$1,486.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $186.88 / $247.35	Professional		$164.90	$186.88	$247.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.02 / $193.24 / $1,033.35	Facility		$138.02	$193.24	$1,033.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.90 / $334.90 / $401.25	Professional		$334.90	$334.90	$401.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $164.90 / $233.61	Professional		$164.90	$164.90	$233.61
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 $274.83 / $274.83 / $412.24	Facility		$274.83	$274.83	$412.24
United Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $115.43 / $430.62	Professional		$96.19	$115.43	$430.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $164.90 / $164.90	Professional		$164.90	$164.90	$164.90