Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.36 / $325.58 / $547.01	Facility		$195.36	$325.58	$547.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $303.82 / $371.81	Professional		$101.83	$303.82	$371.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $115.20 / $323.00	Facility		$115.20	$115.20	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.12 / $51.75 / $151.36	Professional		$46.12	$51.75	$151.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $113.72 / $154.26 / $175.08	Professional		$113.72	$154.26	$175.08
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 Professional Modifier Low / Median / High Price $238.81 / $303.64 / $584.40	Professional		$238.81	$303.64	$584.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.41 / $198.41 / $198.41	Professional		$198.41	$198.41	$198.41