Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.54 / $729.45 / $1,781.77	Facility		$418.54	$729.45	$1,781.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.74 / $391.37 / $460.39	Professional		$358.74	$391.37	$460.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.29 / $475.99 / $2,247.64	Facility		$343.29	$475.99	$2,247.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.30 / $628.98 / $1,015.13	Professional		$299.30	$628.98	$1,015.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $358.75 / $466.37 / $747.39	Professional		$358.75	$466.37	$747.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $315.70 / $602.10	Professional		$76.77	$315.70	$602.10
United Facility/Professional Facility Modifier Low / Median / High Price $896.86 / $896.86 / $896.86	Facility		$896.86	$896.86	$896.86
United Facility/Professional Professional Modifier Low / Median / High Price $209.27 / $252.88 / $804.79	Professional		$209.27	$252.88	$804.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.72 / $358.75 / $358.75	Professional		$309.72	$358.75	$358.75