Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.09 / $295.12 / $928.90	Facility		$199.09	$295.12	$928.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $209.05 / $251.92	Professional		$174.64	$209.05	$251.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.24 / $271.94 / $909.76	Facility		$194.24	$271.94	$909.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.63 / $229.83 / $474.99	Professional		$148.63	$229.83	$474.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $145.13 / $288.02	Professional		$145.13	$145.13	$288.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $127.72 / $331.82	Professional		$31.93	$127.72	$331.82
United Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $241.90 / $362.85	Facility		$241.90	$241.90	$362.85
United Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $138.38 / $330.01	Professional		$84.67	$138.38	$330.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $145.13 / $145.13	Professional		$145.13	$145.13	$145.13