Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $549.54 / $1,071.52	Facility		$128.82	$549.54	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $194.98	Professional		$128.82	$151.36	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $154.88 / $812.83	Facility		$102.33	$154.88	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $954.99	Professional		$245.47	$288.40	$954.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $169.82	Professional		$120.23	$120.23	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $181.97	Professional		$120.23	$162.18	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $181.97 / $199.53	Facility		$83.18	$181.97	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $302.00	Professional		$70.79	$83.18	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $120.23 / $120.23	Professional		$53.70	$120.23	$120.23