Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.31 / $540.00 / $1,087.41	Facility		$194.31	$540.00	$1,087.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $360.19 / $466.17	Professional		$220.89	$360.19	$466.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.75 / $498.06 / $1,567.24	Facility		$355.75	$498.06	$1,567.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.96 / $396.20 / $818.85	Professional		$255.96	$396.20	$818.85
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $250.07 / $250.07 / $495.76	Professional		$250.07	$250.07	$495.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $17.00 / $571.72	Professional		$4.25	$17.00	$571.72
United Facility/Professional Professional Modifier Low / Median / High Price $145.87 / $238.22 / $850.77	Professional		$145.87	$238.22	$850.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32