Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $831.76 / $1,621.81	Facility		$208.93	$831.76	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $331.13	Professional		$194.98	$234.42	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $229.09 / $1,230.27	Facility		$154.88	$229.09	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $1,445.44	Professional		$371.54	$436.52	$1,445.44
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $257.04	Professional		$181.97	$181.97	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $269.15	Professional		$181.97	$245.47	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $269.15 / $302.00	Facility		$125.89	$269.15	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $457.09	Professional		$104.71	$125.89	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $181.97 / $181.97	Professional		$81.28	$181.97	$181.97