Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.51 / $478.53 / $1,202.70	Facility		$282.51	$478.53	$1,202.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.81 / $290.58 / $478.53	Professional		$181.81	$290.58	$478.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.10 / $219.95 / $1,517.52	Facility		$157.10	$219.95	$1,517.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.86 / $335.52 / $685.32	Professional		$154.86	$335.52	$685.32
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $242.15 / $242.15 / $482.72	Professional		$242.15	$242.15	$482.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.74 / $99.46 / $378.77	Professional		$96.74	$99.46	$378.77
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $169.51 / $632.37	Professional		$126.57	$169.51	$632.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $403.59 / $403.59	Professional		$403.59	$403.59	$403.59