Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $426.58 / $1,412.54	Facility		$181.97	$426.58	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $302.00	Professional		$154.88	$190.55	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $190.55 / $1,047.13	Facility		$141.25	$190.55	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $380.19	Professional		$125.89	$208.93	$380.19
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $234.42	Professional		$154.88	$154.88	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $234.42	Professional		$154.88	$208.93	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $154.88 / $263.03	Facility		$109.65	$154.88	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $346.74	Professional		$91.20	$109.65	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $154.88 / $263.03	Professional		$70.79	$154.88	$263.03