Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $569.29 / $3,286.69	Facility		$455.43	$569.29	$3,286.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $516.15 / $683.15	Professional		$455.43	$516.15	$683.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.22 / $543.03 / $2,854.12	Facility		$381.22	$543.03	$2,854.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.59 / $924.59 / $1,107.77	Professional		$924.59	$924.59	$1,107.77
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $455.43 / $645.19	Professional		$455.43	$455.43	$645.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,138.58 / $1,138.58 / $1,138.58	Facility		$1,138.58	$1,138.58	$1,138.58
United Facility/Professional Professional Modifier Low / Median / High Price $265.67 / $318.80 / $1,138.58	Professional		$265.67	$318.80	$1,138.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $455.43 / $455.43	Professional		$455.43	$455.43	$455.43