Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.12 / $375.12 / $375.12	Facility		$375.12	$375.12	$375.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.86 / $524.57 / $666.47	Professional		$397.86	$524.57	$666.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.92 / $624.92 / $624.92	Facility		$624.92	$624.92	$624.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.25 / $624.65 / $1,035.06	Professional		$452.25	$624.65	$1,035.06
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $200.12 / $419.29 / $523.78	Professional		$200.12	$419.29	$523.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.71 / $215.88 / $301.54	Professional		$172.71	$215.88	$301.54
United Facility/Professional Professional Modifier Low / Median / High Price $293.51 / $417.39 / $684.52	Professional		$293.51	$417.39	$684.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.71 / $172.71 / $172.71	Professional		$172.71	$172.71	$172.71