Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,174.90 / $3,162.28	Facility		$501.19	$1,174.90	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $707.95	Professional		$407.38	$501.19	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $602.56 / $2,398.83	Facility		$407.38	$602.56	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $1,047.13	Professional		$309.03	$489.78	$1,047.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $616.60	Professional		$354.81	$354.81	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $645.65	Professional		$389.05	$389.05	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $524.81 / $645.65	Facility		$257.04	$524.81	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $933.25	Professional		$245.47	$302.00	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $354.81 / $354.81	Professional		$158.49	$354.81	$354.81