Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $338.84 / $660.69	Facility		$107.15	$338.84	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $141.25	Professional		$81.28	$102.33	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $125.89 / $489.78	Facility		$85.11	$125.89	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $588.84	Professional		$87.10	$147.91	$588.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $128.82	Professional		$72.44	$72.44	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $109.65	Professional		$72.44	$97.72	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $109.65 / $134.90	Facility		$53.70	$109.65	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $194.98	Professional		$51.29	$63.10	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $72.44 / $72.44	Professional		$33.11	$72.44	$72.44