Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.61 / $318.95 / $1,118.24	Facility		$60.61	$318.95	$1,118.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $251.42 / $307.70	Professional		$50.74	$251.42	$307.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $68.05 / $1,410.52	Facility		$48.61	$68.05	$1,410.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $285.73 / $607.05	Professional		$47.88	$285.73	$607.05
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $225.15 / $225.15	Professional		$50.60	$225.15	$225.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $109.20 / $167.53	Professional		$27.30	$109.20	$167.53
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $157.61 / $372.96	Professional		$39.15	$157.61	$372.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.10 / $124.10 / $124.10	Professional		$124.10	$124.10	$124.10