Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.97 / $550.11 / $1,370.92	Facility		$204.97	$550.11	$1,370.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.97 / $302.11 / $405.82	Professional		$204.97	$302.11	$405.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.41 / $329.56 / $1,695.92	Facility		$235.41	$329.56	$1,695.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.29 / $387.82 / $770.11	Professional		$225.29	$387.82	$770.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $270.55 / $270.55 / $354.03	Professional		$270.55	$270.55	$354.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $54.91 / $567.58	Professional		$53.41	$54.91	$567.58
United Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $450.91 / $676.36	Facility		$450.91	$450.91	$676.36
United Facility/Professional Professional Modifier Low / Median / High Price $157.82 / $189.67 / $937.89	Professional		$157.82	$189.67	$937.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $450.91 / $450.91	Professional		$450.91	$450.91	$450.91