Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $630.49 / $3,640.01	Facility		$504.39	$630.49	$3,640.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.39 / $546.41 / $605.27	Professional		$504.39	$546.41	$605.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.20 / $591.08 / $3,161.20	Facility		$422.20	$591.08	$3,161.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $1,024.65 / $1,280.81	Professional		$966.01	$1,024.65	$1,280.81
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $470.76 / $504.39 / $996.09	Professional		$470.76	$504.39	$996.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.23 / $353.07 / $865.87	Professional		$294.23	$353.07	$865.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $435.46	Professional		$336.26	$336.26	$435.46