Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $776.25 / $1,513.56	Facility		$199.53	$776.25	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $316.23	Professional		$181.97	$218.78	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $218.78 / $1,148.15	Facility		$147.91	$218.78	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $1,348.96	Professional		$346.74	$416.87	$1,348.96
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $239.88	Professional		$169.82	$169.82	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $257.04	Professional		$169.82	$169.82	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $257.04 / $281.84	Facility		$117.49	$257.04	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $426.58	Professional		$100.00	$117.49	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $169.82 / $169.82	Professional		$75.86	$169.82	$169.82