Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $200.03 / $528.88	Facility		$97.31	$200.03	$528.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $123.30 / $163.96	Professional		$97.31	$123.30	$163.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.60 / $163.24 / $616.72	Facility		$116.60	$163.24	$616.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $170.69 / $327.23	Professional		$84.38	$170.69	$327.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $98.38 / $122.41	Professional		$67.45	$98.38	$122.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $26.03 / $281.13	Professional		$25.32	$26.03	$281.13
United Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $98.38 / $147.56	Facility		$80.53	$98.38	$147.56
United Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $93.95 / $291.14	Professional		$57.39	$93.95	$291.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $163.96 / $163.96	Professional		$163.96	$163.96	$163.96