Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $367.65 / $1,157.18	Facility		$195.88	$367.65	$1,157.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.24 / $204.92 / $271.22	Professional		$164.24	$204.92	$271.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.37 / $231.52 / $1,132.72	Facility		$165.37	$231.52	$1,132.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.09 / $243.92 / $511.54	Professional		$145.09	$243.92	$511.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $180.81 / $263.39	Professional		$180.81	$180.81	$263.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.46 / $198.89 / $271.21	Professional		$193.46	$198.89	$271.21
United Facility/Professional Facility Modifier Low / Median / High Price $452.02 / $452.02 / $452.02	Facility		$452.02	$452.02	$452.02
United Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $126.57 / $577.00	Professional		$105.47	$126.57	$577.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $301.35	Professional		$301.35	$301.35	$301.35