Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,454.71 / $5,128.61	Facility		$758.58	$2,454.71	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,230.27	Professional		$630.96	$776.25	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $891.25 / $4,265.80	Facility		$602.56	$891.25	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,584.89	Professional		$524.81	$851.14	$1,584.89
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $954.99	Professional		$630.96	$630.96	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,659.59	Professional		$630.96	$954.99	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $1,047.13	Facility		$436.52	$630.96	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $1,380.38	Professional		$371.54	$436.52	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $630.96 / $1,047.13	Professional		$281.84	$630.96	$1,047.13