Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.00 / $355.46 / $868.25	Facility		$167.00	$355.46	$868.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $195.21 / $262.22	Professional		$133.72	$195.21	$262.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.11 / $212.96 / $1,095.80	Facility		$152.11	$212.96	$1,095.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.57 / $250.49 / $497.40	Professional		$145.57	$250.49	$497.40
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $174.82 / $174.82	Professional		$128.58	$174.82	$174.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.84 / $155.07 / $366.75	Professional		$150.84	$155.07	$366.75
United Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $291.36 / $437.04	Facility		$291.36	$291.36	$437.04
United Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $122.56 / $392.17	Professional		$101.98	$122.56	$392.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $291.36 / $291.36	Professional		$291.36	$291.36	$291.36