Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.94 / $179.89 / $307.00	Facility		$107.94	$179.89	$307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $179.89 / $205.37	Professional		$33.93	$179.89	$205.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $240.61 / $333.62	Facility		$37.28	$240.61	$333.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $26.46 / $233.86	Professional		$23.35	$26.46	$233.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $32.31 / $35.77	Professional		$23.86	$32.31	$35.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $140.62 / $200.88 / $322.77	Facility		$140.62	$200.88	$322.77
United Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $157.97 / $322.77	Professional		$135.91	$157.97	$322.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.50 / $170.50 / $170.50	Professional		$170.50	$170.50	$170.50