Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.39 / $115.89 / $364.76	Facility		$68.39	$115.89	$364.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $76.94 / $137.74	Professional		$63.64	$76.94	$137.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $39.40 / $356.80	Facility		$28.15	$39.40	$356.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $99.53 / $161.54	Professional		$47.46	$99.53	$161.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $56.99 / $184.60	Professional		$56.99	$56.99	$184.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $62.68 / $85.48	Professional		$60.97	$62.68	$85.48
United Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $39.90 / $148.84	Professional		$33.25	$39.90	$148.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $94.99 / $94.99	Professional		$94.99	$94.99	$94.99