Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $213.27 / $531.47	Facility		$122.37	$213.27	$531.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $125.86 / $157.33	Professional		$105.62	$125.86	$157.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.27 / $127.78 / $657.48	Facility		$91.27	$127.78	$657.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $150.35 / $298.57	Professional		$87.34	$150.35	$298.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $104.89 / $208.37	Professional		$51.65	$104.89	$208.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $54.91 / $220.03	Professional		$53.41	$54.91	$220.03
United Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $73.53 / $273.89	Professional		$61.18	$73.53	$273.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Professional		$174.81	$174.81	$174.81