Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $951.60 / $2,324.40	Facility		$546.00	$951.60	$2,324.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.60 / $717.60 / $955.93	Professional		$522.60	$717.60	$955.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.36 / $281.89 / $2,933.12	Facility		$201.36	$281.89	$2,933.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.65 / $787.23 / $1,324.13	Professional		$389.65	$787.23	$1,324.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $468.00 / $1,594.12	Professional		$468.00	$468.00	$1,594.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $135.05 / $184.17	Professional		$131.37	$135.05	$184.17
United Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $327.60 / $1,222.15	Professional		$273.00	$327.60	$1,222.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $780.00 / $780.00	Professional		$780.00	$780.00	$780.00