Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.32 / $425.24 / $1,199.21	Facility		$238.32	$425.24	$1,199.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.13 / $250.24 / $313.70	Professional		$227.13	$250.24	$313.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.93 / $288.31 / $1,311.12	Facility		$205.93	$288.31	$1,311.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.36 / $307.61 / $595.28	Professional		$175.36	$307.61	$595.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $209.14 / $209.14 / $315.25	Professional		$209.14	$209.14	$315.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.77 / $230.05 / $496.50	Professional		$223.77	$230.05	$496.50
United Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $348.56 / $522.84	Facility		$348.56	$348.56	$522.84
United Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $165.92 / $766.83	Professional		$122.00	$165.92	$766.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $348.56 / $348.56 / $348.56	Professional		$348.56	$348.56	$348.56