Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.28 / $235.77 / $575.89	Facility		$135.28	$235.77	$575.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.14 / $135.28 / $177.47	Professional		$119.14	$135.28	$177.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.24 / $162.72 / $726.28	Facility		$116.24	$162.72	$726.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $153.66 / $327.97	Professional		$94.70	$153.66	$327.97
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $115.95 / $172.36	Professional		$115.95	$115.95	$172.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $102.03 / $198.57	Professional		$25.50	$102.03	$198.57
United Facility/Professional Facility Modifier Low / Median / High Price $173.93 / $173.93 / $289.88	Facility		$173.93	$173.93	$289.88
United Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $82.82 / $302.80	Professional		$67.64	$82.82	$302.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $115.95 / $115.95	Professional		$115.95	$115.95	$115.95