Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.43 / $493.51 / $1,205.47	Facility		$213.43	$493.51	$1,205.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.10 / $283.16 / $364.07	Professional		$198.10	$283.16	$364.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.16 / $239.63 / $1,521.36	Facility		$171.16	$239.63	$1,521.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.67 / $336.42 / $686.54	Professional		$168.67	$336.42	$686.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $242.71 / $242.71 / $404.52	Professional		$242.71	$242.71	$404.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $90.42 / $412.71	Professional		$87.95	$90.42	$412.71
United Facility/Professional Facility Modifier Low / Median / High Price $606.78 / $606.78 / $606.78	Facility		$606.78	$606.78	$606.78
United Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $169.90 / $645.00	Professional		$137.91	$169.90	$645.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $404.52 / $404.52 / $404.52	Professional		$404.52	$404.52	$404.52