Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.05 / $1,063.74 / $1,276.49	Facility		$956.05	$1,063.74	$1,276.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.05 / $1,187.83 / $1,780.48	Professional		$956.05	$1,187.83	$1,780.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $144.19 / $192.25	Facility		$144.19	$144.19	$192.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $144.19 / $190.23	Professional		$122.56	$144.19	$190.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,283.58 / $1,833.70 / $1,971.60	Professional		$1,283.58	$1,833.70	$1,971.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,065.52 / $3,004.40 / $3,755.50	Professional		$2,065.52	$3,004.40	$3,755.50
United Facility/Professional Professional Modifier Low / Median / High Price $734.13 / $863.16 / $1,376.00	Professional		$734.13	$863.16	$1,376.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,755.50 / $3,755.50 / $3,755.50	Professional		$3,755.50	$3,755.50	$3,755.50