Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $231.90 / $575.89	Facility		$125.61	$231.90	$575.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $135.28 / $173.93	Professional		$115.95	$135.28	$173.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.04 / $148.44 / $726.28	Facility		$106.04	$148.44	$726.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $155.26 / $327.97	Professional		$93.20	$155.26	$327.97
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $115.95 / $168.92	Professional		$115.95	$115.95	$168.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $50.09 / $68.31	Professional		$48.72	$50.09	$68.31
United Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $193.25 / $289.88	Facility		$193.25	$193.25	$289.88
United Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $81.17 / $401.96	Professional		$67.64	$81.17	$401.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $193.25 / $193.25	Professional		$193.25	$193.25	$193.25