Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $293.06 / $1,691.95	Facility		$234.45	$293.06	$1,691.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $253.99 / $281.33	Professional		$234.45	$253.99	$281.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.87 / $270.02 / $1,469.12	Facility		$192.87	$270.02	$1,469.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $476.19 / $595.24	Professional		$448.93	$476.19	$595.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $221.93 / $234.45 / $463.00	Professional		$221.93	$234.45	$463.00
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 $390.75 / $390.75 / $586.12	Facility		$390.75	$390.75	$586.12
United Facility/Professional Professional Modifier Low / Median / High Price $136.76 / $164.12 / $508.58	Professional		$136.76	$164.12	$508.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.41 / $234.45 / $234.45	Professional		$202.41	$234.45	$234.45