Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.24 / $856.55 / $4,945.12	Facility		$685.24	$856.55	$4,945.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.24 / $799.44 / $1,027.85	Professional		$685.24	$799.44	$1,027.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $563.72 / $751.62 / $1,636.86	Facility		$563.72	$751.62	$1,636.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,391.26 / $1,391.26 / $1,666.89	Professional		$1,391.26	$1,391.26	$1,666.89
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $685.24 / $685.24 / $998.25	Professional		$685.24	$685.24	$998.25
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 $1,142.06 / $1,142.06 / $1,713.09	Facility		$1,142.06	$1,142.06	$1,713.09
United Facility/Professional Professional Modifier Low / Median / High Price $399.72 / $479.67 / $1,789.45	Professional		$399.72	$479.67	$1,789.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $685.24 / $685.24 / $685.24	Professional		$685.24	$685.24	$685.24