Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.82 / $261.83 / $666.12	Facility		$108.82	$261.83	$666.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $143.80 / $193.16	Professional		$86.58	$143.80	$193.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.39 / $160.15 / $806.56	Facility		$114.39	$160.15	$806.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $184.76 / $366.90	Professional		$107.15	$184.76	$366.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $128.77 / $128.77	Professional		$105.12	$128.77	$128.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $135.05 / $275.78	Professional		$131.37	$135.05	$275.78
United Facility/Professional Facility Modifier Low / Median / High Price $321.93 / $321.93 / $321.93	Facility		$321.93	$321.93	$321.93
United Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $92.16 / $472.16	Professional		$75.12	$92.16	$472.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $214.62 / $214.62 / $214.62	Professional		$214.62	$214.62	$214.62