Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.91 / $457.81 / $1,440.96	Facility		$243.91	$457.81	$1,440.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.51 / $255.17 / $337.73	Professional		$204.51	$255.17	$337.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.92 / $288.30 / $1,410.52	Facility		$205.92	$288.30	$1,410.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.84 / $301.80 / $636.98	Professional		$180.84	$301.80	$636.98
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $225.15 / $225.15 / $328.00	Professional		$225.15	$225.15	$328.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $136.51 / $225.86	Professional		$132.78	$136.51	$225.86
United Facility/Professional Facility Modifier Low / Median / High Price $562.88 / $562.88 / $562.88	Facility		$562.88	$562.88	$562.88
United Facility/Professional Professional Modifier Low / Median / High Price $131.34 / $157.61 / $587.96	Professional		$131.34	$157.61	$587.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $375.25 / $375.25	Professional		$375.25	$375.25	$375.25