Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.80 / $614.88 / $1,501.92	Facility		$352.80	$614.88	$1,501.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $352.80 / $413.28	Professional		$302.39	$352.80	$413.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $387.21 / $1,894.68	Facility		$279.26	$387.21	$1,894.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $508.59 / $855.42	Professional		$252.00	$508.59	$855.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $393.12 / $630.00	Professional		$302.39	$393.12	$630.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $332.64 / $453.60	Professional		$302.39	$332.64	$453.60
United Facility/Professional Professional Modifier Low / Median / High Price $176.40 / $211.68 / $678.38	Professional		$176.40	$211.68	$678.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $261.07 / $302.39 / $302.39	Professional		$261.07	$302.39	$302.39