Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.74 / $289.57 / $1,170.47	Facility		$103.74	$289.57	$1,170.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $204.22 / $249.94	Professional		$103.74	$204.22	$249.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.78 / $313.29 / $1,145.48	Facility		$223.78	$313.29	$1,145.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.59 / $307.70 / $517.66	Professional		$152.59	$307.70	$517.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $182.89 / $182.89 / $241.24	Professional		$182.89	$182.89	$241.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $135.05 / $184.17	Professional		$131.37	$135.05	$184.17
United Facility/Professional Facility Modifier Low / Median / High Price $304.81 / $304.81 / $457.22	Facility		$304.81	$304.81	$457.22
United Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $128.02 / $477.59	Professional		$106.68	$128.02	$477.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $304.81 / $304.81 / $304.81	Professional		$304.81	$304.81	$304.81