Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.84 / $450.00 / $890.63	Facility		$185.84	$450.00	$890.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.65 / $191.15 / $450.00	Professional		$159.65	$191.15	$450.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.94 / $214.11 / $876.64	Facility		$152.94	$214.11	$876.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.95 / $223.75 / $428.97	Professional		$119.95	$223.75	$428.97
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $139.84 / $772.02	Professional		$139.84	$139.84	$772.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $135.54 / $368.73	Professional		$131.84	$135.54	$368.73
United Facility/Professional Facility Modifier Low / Median / High Price $349.60 / $349.60 / $349.60	Facility		$349.60	$349.60	$349.60
United Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $123.22 / $365.19	Professional		$92.92	$123.22	$365.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $233.07 / $233.07	Professional		$233.07	$233.07	$233.07