Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.77 / $915.86 / $1,386.56	Facility		$594.77	$915.86	$1,386.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.18 / $747.04 / $1,010.42	Professional		$690.18	$747.04	$1,010.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.67 / $734.67 / $734.67	Facility		$734.67	$734.67	$734.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $240.52 / $240.52	Professional		$240.52	$240.52	$240.52
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $630.08 / $691.05	Professional		$35.57	$630.08	$691.05
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 $437.68 / $437.68 / $459.56	Professional		$437.68	$437.68	$459.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $691.79	Professional		$30.00	$30.00	$691.79