Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $251.19 / $501.19	Facility		$81.28	$251.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $100.00	Professional		$61.66	$77.62	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $85.11 / $371.54	Facility		$57.54	$85.11	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $446.68	Professional		$60.26	$112.20	$446.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $95.50	Professional		$54.95	$54.95	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $645.65	Professional		$54.95	$83.18	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $83.18 / $102.33	Facility		$40.74	$83.18	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $147.91	Professional		$38.90	$47.86	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $54.95 / $54.95	Professional		$24.55	$54.95	$54.95