Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.20 / $570.96 / $1,797.12	Facility		$304.20	$570.96	$1,797.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.80 / $327.60 / $1,500.00	Professional		$280.80	$327.60	$1,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.82 / $359.55 / $1,759.64	Facility		$256.82	$359.55	$1,759.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.44 / $379.01 / $794.84	Professional		$225.44	$379.01	$794.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $280.80 / $280.80 / $409.07	Professional		$280.80	$280.80	$409.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $300.45 / $308.88 / $421.20	Professional		$300.45	$308.88	$421.20
United Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $936.00 / $1,404.00	Facility		$936.00	$936.00	$1,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $196.56 / $733.29	Professional		$163.80	$196.56	$733.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $468.00 / $468.00	Professional		$468.00	$468.00	$468.00