Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,230.27 / $2,454.71	Facility		$316.23	$1,230.27	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $501.19	Professional		$295.12	$354.81	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $1,819.70	Facility		$257.04	$380.19	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $2,187.76	Professional		$363.08	$549.54	$2,187.76
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $380.19	Professional		$269.15	$269.15	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $407.38	Professional		$269.15	$363.08	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $407.38 / $446.68	Facility		$190.55	$407.38	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $676.08	Professional		$158.49	$190.55	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $269.15	Professional		$123.03	$269.15	$269.15