Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $210.73 / $545.30	Facility		$132.41	$210.73	$545.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $132.41 / $181.42	Professional		$110.86	$132.41	$181.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.18 / $148.66 / $649.84	Facility		$106.18	$148.66	$649.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $158.68 / $305.58	Professional		$87.25	$158.68	$305.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $103.64 / $237.58	Professional		$103.64	$103.64	$237.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.89 / $114.00 / $256.03	Professional		$110.89	$114.00	$256.03
United Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $172.73 / $259.10	Facility		$172.73	$172.73	$259.10
United Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $85.56 / $259.10	Professional		$60.46	$85.56	$259.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $172.73 / $172.73	Professional		$172.73	$172.73	$172.73