Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.74 / $152.06 / $451.88	Facility		$89.74	$152.06	$451.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $89.74 / $350.00	Professional		$50.20	$89.74	$350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.60 / $89.17 / $468.92	Facility		$62.60	$89.17	$468.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $94.23 / $182.01	Professional		$41.15	$94.23	$182.01
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $70.63 / $74.78 / $97.22	Professional		$70.63	$74.78	$97.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $83.67 / $133.87	Professional		$83.67	$83.67	$133.87
United Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $124.64 / $186.96	Facility		$124.64	$124.64	$186.96
United Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $52.35 / $195.29	Professional		$31.97	$52.35	$195.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $124.64 / $124.64	Professional		$124.64	$124.64	$124.64