Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $367.65 / $1,304.84	Facility		$175.00	$367.65	$1,304.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $201.90 / $379.70	Professional		$175.00	$201.90	$379.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $237.94 / $1,132.72	Facility		$169.96	$237.94	$1,132.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.86 / $304.06 / $511.54	Professional		$150.86	$304.06	$511.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $180.81 / $406.63	Professional		$180.81	$180.81	$406.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.10 / $74.12 / $101.08	Professional		$72.10	$74.12	$101.08
United Facility/Professional Facility Modifier Low / Median / High Price $271.22 / $271.22 / $452.02	Facility		$271.22	$271.22	$452.02
United Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $126.57 / $472.17	Professional		$105.47	$126.57	$472.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $301.35	Professional		$301.35	$301.35	$301.35