Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.12 / $505.12 / $505.12	Facility		$505.12	$505.12	$505.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.66 / $733.62 / $982.56	Professional		$548.66	$733.62	$982.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.11 / $876.11 / $1,856.62	Facility		$876.11	$876.11	$1,856.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.66 / $845.42 / $1,438.14	Professional		$616.66	$845.42	$1,438.14
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $289.93 / $621.27 / $886.13	Professional		$289.93	$621.27	$886.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $612.30 / $798.20 / $1,237.63	Professional		$612.30	$798.20	$1,237.63
United Facility/Professional Professional Modifier Low / Median / High Price $495.33 / $653.77 / $1,034.88	Professional		$495.33	$653.77	$1,034.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $583.92 / $583.92 / $763.76	Professional		$583.92	$583.92	$763.76