Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.25 / $342.25 / $342.25	Facility		$342.25	$342.25	$342.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.45 / $476.96 / $618.75	Professional		$368.45	$476.96	$618.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.26 / $569.26 / $1,258.35	Facility		$569.26	$569.26	$1,258.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.08 / $560.87 / $964.62	Professional		$408.08	$560.87	$964.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $194.64 / $417.09 / $576.67	Professional		$194.64	$417.09	$576.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $418.47 / $547.95 / $823.38	Professional		$418.47	$547.95	$823.38
United Facility/Professional Professional Modifier Low / Median / High Price $335.61 / $441.38 / $711.00	Professional		$335.61	$441.38	$711.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.43 / $380.43 / $497.37	Professional		$380.43	$380.43	$497.37