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 $116.75 / $868.37 / $1,062.80	Professional		$116.75	$868.37	$1,062.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.93 / $140.93 / $140.93	Facility		$140.93	$140.93	$140.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $33.47 / $343.18	Professional		$29.82	$33.47	$343.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $41.29 / $45.14	Professional		$29.71	$41.29	$45.14
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 Facility Modifier Low / Median / High Price $2,185.69 / $2,185.69 / $2,185.69	Facility		$2,185.69	$2,185.69	$2,185.69
United Facility/Professional Professional Modifier Low / Median / High Price $700.27 / $895.71 / $1,607.57	Professional		$700.27	$895.71	$1,607.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.49 / $392.49 / $392.49	Professional		$392.49	$392.49	$392.49