Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $426.58 / $1,513.56	Facility		$218.78	$426.58	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $239.88 / $371.54	Professional		$66.07	$239.88	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $128.82 / $1,258.93	Facility		$87.10	$128.82	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $446.68	Professional		$83.18	$199.53	$446.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $186.21 / $186.21	Professional		$52.48	$186.21	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $204.17	Professional		$54.95	$67.61	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $186.21 / $309.03	Facility		$89.13	$186.21	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $416.87	Professional		$67.61	$128.82	$416.87