Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.98 / $303.14 / $967.25	Facility		$210.98	$303.14	$967.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.90 / $210.98 / $268.76	Professional		$176.90	$210.98	$268.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.12 / $249.37 / $1,220.64	Facility		$178.12	$249.37	$1,220.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.54 / $260.89 / $551.30	Professional		$156.54	$260.89	$551.30
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $194.75 / $283.70	Professional		$194.75	$194.75	$283.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.38 / $214.22 / $354.44	Professional		$208.38	$214.22	$354.44
United Facility/Professional Facility Modifier Low / Median / High Price $324.58 / $324.58 / $486.87	Facility		$324.58	$324.58	$486.87
United Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $136.32 / $508.57	Professional		$113.60	$136.32	$508.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $324.58	Professional		$324.58	$324.58	$324.58