Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.89 / $133.24 / $678.73	Facility		$101.89	$133.24	$678.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $109.73 / $141.08	Professional		$85.43	$109.73	$141.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $110.25 / $589.96	Facility		$78.75	$110.25	$589.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.31 / $191.31 / $229.21	Professional		$191.31	$191.31	$229.21
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $94.05 / $133.24	Professional		$94.05	$94.05	$133.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $156.75 / $235.12	Facility		$156.75	$156.75	$235.12
United Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $65.84 / $293.44	Professional		$54.86	$65.84	$293.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $94.05 / $94.05	Professional		$94.05	$94.05	$94.05