Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.89 / $359.31 / $1,075.53	Facility		$220.89	$359.31	$1,075.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $242.40 / $279.79	Professional		$85.00	$242.40	$279.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.45 / $293.22 / $1,107.28	Facility		$209.45	$293.22	$1,107.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.83 / $306.56 / $587.73	Professional		$154.83	$306.56	$587.73
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $176.71 / $176.71 / $203.88	Professional		$176.71	$176.71	$203.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $135.05 / $505.00	Professional		$131.37	$135.05	$505.00
United Facility/Professional Facility Modifier Low / Median / High Price $441.78 / $441.78 / $441.78	Facility		$441.78	$441.78	$441.78
United Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $168.75 / $522.95	Professional		$103.08	$168.75	$522.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $294.52 / $294.52 / $294.52	Professional		$294.52	$294.52	$294.52