Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $371.54 / $724.44	Facility		$95.50	$371.54	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $144.54	Professional		$79.43	$104.71	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $97.72 / $549.54	Facility		$74.13	$97.72	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $645.65	Professional		$107.15	$162.18	$645.65
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $114.82	Professional		$81.28	$81.28	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $120.23	Professional		$81.28	$109.65	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $120.23 / $134.90	Facility		$56.23	$120.23	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $199.53	Professional		$46.77	$56.23	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $81.28 / $81.28	Professional		$36.31	$81.28	$81.28