Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $213.75 / $441.41	Facility		$71.00	$213.75	$441.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $82.51 / $148.68	Professional		$71.00	$82.51	$148.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.67 / $437.70 / $514.94	Facility		$106.67	$437.70	$514.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $134.43 / $197.78	Professional		$86.99	$134.43	$197.78
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $79.37 / $134.79	Professional		$74.08	$79.37	$134.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $106.53 / $150.45	Professional		$77.42	$106.53	$150.45
United Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $113.06 / $189.58	Professional		$86.40	$113.06	$189.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $66.03 / $66.03	Professional		$66.03	$66.03	$66.03