Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.40 / $227.34 / $240.46	Facility		$136.40	$227.34	$240.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $227.34 / $463.14	Professional		$136.40	$227.34	$463.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.79 / $710.39 / $845.71	Facility		$334.79	$710.39	$845.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.22 / $306.75 / $1,400.07	Professional		$209.22	$306.75	$1,400.07
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $208.90 / $283.17 / $307.56	Professional		$208.90	$283.17	$307.56
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 Facility Modifier Low / Median / High Price $1,048.33 / $1,048.33 / $1,048.33	Facility		$1,048.33	$1,048.33	$1,048.33
United Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $210.79 / $402.54	Professional		$180.72	$210.79	$402.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.74 / $230.74 / $230.74	Professional		$230.74	$230.74	$230.74