Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $489.78 / $1,778.28	Facility		$251.19	$489.78	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $346.74	Professional		$213.80	$275.42	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $275.42 / $1,445.44	Facility		$186.21	$275.42	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $1,698.24	Professional		$436.52	$524.81	$1,698.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $302.00	Professional		$213.80	$213.80	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $323.59	Professional		$213.80	$288.40	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $323.59 / $354.81	Facility		$147.91	$323.59	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $537.03	Professional		$125.89	$147.91	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $213.80 / $213.80	Professional		$95.50	$213.80	$213.80