Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $116.89 / $123.66	Facility		$70.13	$116.89	$123.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $99.34 / $130.71	Professional		$52.06	$99.34	$130.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.38 / $171.14 / $637.11	Facility		$163.38	$171.14	$637.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $136.99 / $145.19	Professional		$16.45	$136.99	$145.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $253.10 / $569.48 / $1,281.33	Facility		$253.10	$569.48	$1,281.33
United Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $15.57 / $123.79	Professional		$14.39	$15.57	$123.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.03 / $154.03 / $154.03	Professional		$154.03	$154.03	$154.03