Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.82 / $271.02 / $1,564.73	Facility		$216.82	$271.02	$1,564.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $252.96 / $325.23	Professional		$216.82	$252.96	$325.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.37 / $237.83 / $517.92	Facility		$178.37	$237.83	$517.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.97 / $439.97 / $527.13	Professional		$439.97	$439.97	$527.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $216.82 / $315.87	Professional		$216.82	$216.82	$315.87
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 Professional Modifier Low / Median / High Price $126.48 / $151.78 / $795.01	Professional		$126.48	$151.78	$795.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $216.82 / $216.82	Professional		$216.82	$216.82	$216.82