Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $202.50 / $648.00	Facility		$58.46	$202.50	$648.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $113.06 / $138.38	Professional		$58.46	$113.06	$138.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.80 / $93.52 / $634.55	Facility		$66.80	$93.52	$634.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $170.38 / $286.36	Professional		$84.29	$170.38	$286.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $101.25 / $101.25	Professional		$57.81	$101.25	$101.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $90.67 / $123.64	Professional		$88.20	$90.67	$123.64
United Facility/Professional Facility Modifier Low / Median / High Price $253.12 / $253.12 / $253.12	Facility		$253.12	$253.12	$253.12
United Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $70.88 / $264.41	Professional		$59.06	$70.88	$264.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $168.75 / $168.75	Professional		$168.75	$168.75	$168.75