Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $478.63 / $954.99	Facility		$125.89	$478.63	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $194.98	Professional		$112.20	$138.04	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $128.82 / $707.95	Facility		$95.50	$128.82	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $851.14	Professional		$141.25	$213.80	$851.14
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $147.91	Professional		$104.71	$104.71	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $158.49	Professional		$104.71	$141.25	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $158.49 / $173.78	Facility		$74.13	$158.49	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $263.03	Professional		$61.66	$74.13	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $104.71 / $104.71	Professional		$46.77	$104.71	$104.71