Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.08 / $149.11 / $469.33	Facility		$98.08	$149.11	$469.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.89 / $98.08 / $128.44	Professional		$81.89	$98.08	$128.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.80 / $115.92 / $460.00	Facility		$82.80	$115.92	$460.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $110.00 / $230.68	Professional		$69.00	$110.00	$230.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $73.33 / $131.88	Professional		$73.33	$73.33	$131.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $48.54 / $66.19	Professional		$47.21	$48.54	$66.19
United Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $183.33	Facility		$122.22	$122.22	$183.33
United Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $63.37 / $203.70	Professional		$42.78	$63.37	$203.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $122.22 / $122.22	Professional		$122.22	$122.22	$122.22