Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $426.58 / $1,380.38	Facility		$389.05	$426.58	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $426.58	Professional		$389.05	$407.38	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $141.25 / $141.25	Professional		$31.62	$141.25	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $177.83 / $223.87	Facility		$165.96	$177.83	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $128.82 / $134.90	Professional		$39.81	$128.82	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $141.25	Professional		$30.20	$30.20	$141.25