Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.18 / $402.00 / $1,265.32	Facility		$214.18	$402.00	$1,265.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $224.07 / $296.56	Professional		$179.58	$224.07	$296.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.82 / $253.15 / $1,238.48	Facility		$180.82	$253.15	$1,238.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $301.35 / $951.27	Professional		$161.72	$301.35	$951.27
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 $211.54 / $217.48 / $359.83	Professional		$211.54	$217.48	$359.83
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 $329.51 / $329.51 / $329.51	Professional		$329.51	$329.51	$329.51