Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.14 / $210.48 / $626.86	Facility		$108.14	$210.48	$626.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $121.58 / $157.86	Professional		$75.00	$121.58	$157.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.44 / $130.82 / $660.04	Facility		$93.44	$130.82	$660.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $150.97 / $299.80	Professional		$87.68	$150.97	$299.80
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $105.24 / $141.18	Professional		$42.08	$105.24	$141.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $40.23 / $225.28	Professional		$39.14	$40.23	$225.28
United Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $175.40 / $263.10	Facility		$175.40	$175.40	$263.10
United Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $75.29 / $274.83	Professional		$61.39	$75.29	$274.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $175.40 / $175.40	Professional		$175.40	$175.40	$175.40