Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.13 / $235.77 / $575.89	Facility		$139.13	$235.77	$575.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.14 / $144.94 / $177.52	Professional		$119.14	$144.94	$177.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $144.12 / $726.28	Facility		$102.94	$144.12	$726.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.48 / $166.16 / $329.96	Professional		$96.48	$166.16	$329.96
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $115.95 / $228.55	Professional		$109.70	$115.95	$228.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $80.56 / $248.21	Professional		$78.36	$80.56	$248.21
United Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $193.25 / $193.25	Facility		$193.25	$193.25	$193.25
United Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $82.94 / $361.76	Professional		$67.64	$82.94	$361.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $193.25 / $193.25	Professional		$193.25	$193.25	$193.25