Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.27 / $930.45 / $1,563.16	Facility		$558.27	$930.45	$1,563.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $868.37 / $1,062.80	Professional		$210.60	$868.37	$1,062.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.15 / $231.15 / $323.00	Facility		$231.15	$231.15	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.29 / $130.52 / $675.67	Professional		$116.29	$130.52	$675.67
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $113.72 / $154.26 / $175.08	Professional		$113.72	$154.26	$175.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.27 / $894.75 / $1,670.40	Professional		$700.27	$894.75	$1,670.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $533.80 / $533.80 / $533.80	Professional		$533.80	$533.80	$533.80