Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $758.58 / $1,479.11	Facility		$173.78	$758.58	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $302.00	Professional		$158.49	$213.80	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $190.55 / $1,122.02	Facility		$128.82	$190.55	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $1,318.26	Professional		$331.13	$398.11	$1,318.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $213.80	Professional		$165.96	$165.96	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $245.47	Professional		$165.96	$223.87	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $223.87 / $275.42	Facility		$114.82	$223.87	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $371.54	Professional		$87.10	$104.71	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $165.96 / $165.96	Professional		$74.13	$165.96	$165.96