Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.97 / $203.28 / $215.02	Facility		$121.97	$203.28	$215.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $203.28 / $269.23	Professional		$121.97	$203.28	$269.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.24 / $710.39 / $845.71	Facility		$194.24	$710.39	$845.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.60 / $243.21 / $813.86	Professional		$121.60	$243.21	$813.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $124.19 / $168.15 / $183.35	Professional		$124.19	$168.15	$183.35
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 Professional Modifier Low / Median / High Price $160.79 / $178.53 / $344.48	Professional		$160.79	$178.53	$344.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.64 / $195.64 / $195.64	Professional		$195.64	$195.64	$195.64