Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.99 / $332.48 / $1,919.53	Facility		$265.99	$332.48	$1,919.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.99 / $310.32 / $398.98	Professional		$265.99	$310.32	$398.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.81 / $291.75 / $635.37	Facility		$218.81	$291.75	$635.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.78 / $539.78 / $646.72	Professional		$539.78	$539.78	$646.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $265.99 / $265.99 / $387.49	Professional		$265.99	$265.99	$387.49
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 $664.96 / $664.96 / $664.96	Facility		$664.96	$664.96	$664.96
United Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $186.19 / $694.60	Professional		$155.16	$186.19	$694.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $265.99 / $265.99 / $265.99	Professional		$265.99	$265.99	$265.99