Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $367.65 / $1,157.18	Facility		$195.88	$367.65	$1,157.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.24 / $204.92 / $271.22	Professional		$164.24	$204.92	$271.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.37 / $231.52 / $1,132.72	Facility		$165.37	$231.52	$1,132.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $317.06 / $440.06	Professional		$150.47	$317.06	$440.06
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $180.81 / $263.39	Professional		$180.81	$180.81	$263.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $261.18 / $268.51 / $366.15	Professional		$261.18	$268.51	$366.15
United Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $301.35 / $452.02	Facility		$301.35	$301.35	$452.02
United Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $126.57 / $472.17	Professional		$105.47	$126.57	$472.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $301.35	Professional		$301.35	$301.35	$301.35