Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $176.70 / $466.72	Facility		$106.00	$176.70	$466.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $112.98 / $134.11	Professional		$86.58	$112.98	$134.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $144.21 / $544.08	Facility		$103.00	$144.21	$544.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $150.75 / $289.00	Professional		$75.68	$150.75	$289.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $69.88 / $86.90 / $102.08	Professional		$69.88	$86.90	$102.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $26.12 / $248.35	Professional		$25.41	$26.12	$248.35
United Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $217.26	Facility		$144.84	$144.84	$217.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $82.99 / $301.27	Professional		$60.83	$82.99	$301.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $144.84 / $144.84	Professional		$144.84	$144.84	$144.84