Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.87 / $345.11 / $1,086.26	Facility		$183.87	$345.11	$1,086.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $192.36 / $254.59	Professional		$154.16	$192.36	$254.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.24 / $217.32 / $1,063.92	Facility		$155.24	$217.32	$1,063.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.24 / $229.04 / $480.33	Professional		$136.24	$229.04	$480.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $169.73 / $247.26	Professional		$169.73	$169.73	$247.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.61 / $186.70 / $254.59	Professional		$181.61	$186.70	$254.59
United Facility/Professional Facility Modifier Low / Median / High Price $254.59 / $254.59 / $424.32	Facility		$254.59	$254.59	$424.32
United Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $118.81 / $516.00	Professional		$99.01	$118.81	$516.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $282.88	Professional		$282.88	$282.88	$282.88