Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,258.93 / $2,089.30	Facility		$354.81	$1,258.93	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $288.40	Professional		$169.82	$204.17	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $100.00 / $309.03	Facility		$95.50	$100.00	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $302.00	Professional		$190.55	$199.53	$302.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $295.12	Professional		$158.49	$199.53	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $309.03 / $371.54	Professional		$50.12	$309.03	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $162.18 / $371.54	Facility		$120.23	$162.18	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $316.23	Professional		$147.91	$173.78	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21