Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $540.00 / $3,117.60	Facility		$432.00	$540.00	$3,117.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.40 / $468.00 / $648.00	Professional		$392.40	$468.00	$648.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.39 / $497.54 / $2,707.60	Facility		$355.39	$497.54	$2,707.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.87 / $876.87 / $1,050.58	Professional		$876.87	$876.87	$1,050.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $612.00	Professional		$432.00	$432.00	$612.00
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 $720.00 / $720.00 / $1,080.00	Facility		$720.00	$720.00	$1,080.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $302.39 / $1,128.14	Professional		$252.00	$302.39	$1,128.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $432.00	Professional		$432.00	$432.00	$432.00