Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.50 / $960.24 / $1,031.90	Facility		$668.50	$960.24	$1,031.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.50 / $960.24 / $1,361.28	Professional		$668.50	$960.24	$1,361.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $109.87 / $109.87	Facility		$109.87	$109.87	$109.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $93.39 / $113.17	Professional		$93.39	$93.39	$113.17
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,378.70 / $1,537.60 / $1,537.60	Professional		$1,378.70	$1,537.60	$1,537.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $78.87 / $86.75	Professional		$51.26	$78.87	$86.75
United Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $88.76 / $744.06	Professional		$76.40	$88.76	$744.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $78.87 / $78.87	Professional		$78.87	$78.87	$78.87