Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.98 / $518.00 / $598.32	Facility		$481.98	$518.00	$598.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.98 / $529.20 / $778.56	Professional		$481.98	$529.20	$778.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.85 / $546.85 / $546.85	Facility		$546.85	$546.85	$546.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.85 / $739.60 / $739.60	Professional		$546.85	$739.60	$739.60
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $466.16 / $993.30 / $1,068.30	Professional		$466.16	$993.30	$1,068.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $87.61 / $828.88	Professional		$82.88	$87.61	$828.88
United Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $63.77 / $572.39	Professional		$52.27	$63.77	$572.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $692.28 / $692.28 / $692.28	Professional		$692.28	$692.28	$692.28