Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $156.16 / $307.00	Facility		$93.70	$156.16	$307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $156.16 / $165.18	Professional		$53.10	$156.16	$165.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $240.61 / $333.62	Facility		$103.00	$240.61	$333.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $48.10 / $210.69	Professional		$24.05	$48.10	$210.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $33.22 / $36.34	Professional		$24.54	$33.22	$36.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $62.74	Professional		$40.00	$40.00	$62.74
United Facility/Professional Facility Modifier Low / Median / High Price $179.57 / $179.57 / $404.03	Facility		$179.57	$179.57	$404.03
United Facility/Professional Professional Modifier Low / Median / High Price $116.77 / $137.13 / $258.63	Professional		$116.77	$137.13	$258.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.08 / $149.08 / $149.08	Professional		$149.08	$149.08	$149.08