Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.12 / $295.12 / $928.90	Facility		$194.12	$295.12	$928.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.07 / $194.12 / $223.98	Professional		$162.07	$194.12	$223.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.88 / $229.44 / $909.76	Facility		$163.88	$229.44	$909.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.68 / $217.66 / $456.47	Professional		$136.68	$217.66	$456.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $145.13 / $261.02	Professional		$145.13	$145.13	$261.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.29 / $159.65 / $217.71	Professional		$155.29	$159.65	$217.71
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $125.43 / $447.96	Professional		$101.60	$125.43	$447.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $241.90 / $241.90	Professional		$241.90	$241.90	$241.90