Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.37 / $713.58 / $2,246.02	Facility		$469.37	$713.58	$2,246.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.88 / $469.37 / $541.58	Professional		$391.88	$469.37	$541.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.26 / $554.76 / $2,199.19	Facility		$396.26	$554.76	$2,199.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.33 / $526.07 / $1,103.24	Professional		$330.33	$526.07	$1,103.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $350.94 / $631.16	Professional		$350.94	$350.94	$631.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $375.50 / $386.03 / $638.71	Professional		$375.50	$386.03	$638.71
United Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $877.35	Facility		$584.90	$584.90	$877.35
United Facility/Professional Professional Modifier Low / Median / High Price $204.72 / $303.27 / $974.84	Professional		$204.72	$303.27	$974.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $350.94 / $350.94	Professional		$350.94	$350.94	$350.94