Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.00 / $241.55 / $723.02	Facility		$167.00	$241.55	$723.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $162.94 / $183.32	Professional		$104.24	$162.94	$183.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.80 / $197.11 / $744.12	Facility		$140.80	$197.11	$744.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $206.18 / $395.27	Professional		$104.13	$206.18	$395.27
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $118.79 / $152.63	Professional		$96.45	$118.79	$152.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.10 / $130.66 / $339.48	Professional		$127.10	$130.66	$339.48
United Facility/Professional Facility Modifier Low / Median / High Price $197.99 / $197.99 / $296.98	Facility		$197.99	$197.99	$296.98
United Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $113.45 / $405.17	Professional		$69.30	$113.45	$405.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.99 / $197.99 / $197.99	Professional		$197.99	$197.99	$197.99