Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.32 / $692.20 / $1,492.22	Facility		$410.32	$692.20	$1,492.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.32 / $798.38 / $798.38	Professional		$410.32	$798.38	$798.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.54 / $478.54 / $478.54	Facility		$478.54	$478.54	$478.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $291.51	Professional		$291.51	$291.51	$291.51
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $499.53 / $538.27	Professional		$35.57	$499.53	$538.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $462.42 / $462.42	Professional		$28.46	$462.42	$462.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $538.34	Professional		$30.00	$30.00	$538.34