Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $363.08 / $724.44	Facility		$95.50	$363.08	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $147.91	Professional		$87.10	$104.71	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $102.33 / $549.54	Facility		$69.18	$102.33	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $645.65	Professional		$162.18	$194.98	$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 $50.12 / $81.28 / $120.23	Professional		$50.12	$81.28	$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