Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.03 / $371.43 / $1,137.47	Facility		$229.03	$371.43	$1,137.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $300.00 / $600.00	Professional		$91.52	$300.00	$600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.08 / $110.72 / $1,434.72	Facility		$79.08	$110.72	$1,434.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.89 / $291.20 / $617.55	Professional		$77.89	$291.20	$617.55
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $229.02 / $229.02 / $881.08	Professional		$229.02	$229.02	$881.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.54 / $251.92 / $343.53	Professional		$152.54	$251.92	$343.53
United Facility/Professional Facility Modifier Low / Median / High Price $381.70 / $381.70 / $572.54	Facility		$381.70	$381.70	$572.54
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $160.31 / $469.11	Professional		$58.94	$160.31	$469.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $381.70 / $381.70	Professional		$381.70	$381.70	$381.70