Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,047.13 / $2,238.72	Facility		$371.54	$1,047.13	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $316.23 / $1,698.24	Facility		$213.80	$316.23	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $1,995.26	Professional		$416.87	$512.86	$1,995.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $363.08	Professional		$251.19	$251.19	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $338.84	Professional		$39.81	$39.81	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $371.54 / $416.87	Facility		$173.78	$371.54	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $630.96	Professional		$144.54	$173.78	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $251.19 / $251.19	Professional		$112.20	$251.19	$251.19