Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $91.20	Professional		$53.70	$79.43	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $398.11 / $398.11	Professional		$194.98	$398.11	$398.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $83.18 / $91.20	Professional		$40.74	$83.18	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $162.18	Professional		$134.90	$134.90	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $5,011.87 / $10,715.19	Facility		$676.08	$5,011.87	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $141.25	Professional		$63.10	$85.11	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11