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 $128.82 / $128.82 / $309.03	Facility		$128.82	$128.82	$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 $154.88 / $208.93 / $478.63	Facility		$154.88	$208.93	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $354.81	Professional		$158.49	$199.53	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21