Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.77 / $620.82 / $1,547.13	Facility		$330.77	$620.82	$1,547.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.45 / $381.65 / $585.20	Professional		$307.45	$381.65	$585.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.76 / $407.07 / $1,913.80	Facility		$290.76	$407.07	$1,913.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.21 / $396.29 / $863.99	Professional		$244.21	$396.29	$863.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $305.32 / $305.32 / $444.79	Professional		$305.32	$305.32	$444.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $326.69 / $335.85 / $640.53	Professional		$326.69	$335.85	$640.53
United Facility/Professional Facility Modifier Low / Median / High Price $457.98 / $457.98 / $763.30	Facility		$457.98	$457.98	$763.30
United Facility/Professional Professional Modifier Low / Median / High Price $178.10 / $213.73 / $797.33	Professional		$178.10	$213.73	$797.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $305.32 / $305.32 / $305.32	Professional		$305.32	$305.32	$305.32