Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.18 / $402.00 / $1,001.84	Facility		$214.18	$402.00	$1,001.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $230.66 / $296.56	Professional		$179.58	$230.66	$296.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.24 / $271.94 / $1,238.48	Facility		$194.24	$271.94	$1,238.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $256.57 / $559.27	Professional		$158.16	$256.57	$559.27
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $197.71 / $197.71 / $288.02	Professional		$197.71	$197.71	$288.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $95.04 / $331.82	Professional		$23.76	$95.04	$331.82
United Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $138.38 / $516.29	Professional		$115.33	$138.38	$516.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Professional		$108.00	$108.00	$108.00