Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.24 / $244.80 / $573.11	Facility		$144.24	$244.80	$573.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $144.24 / $323.12	Professional		$96.46	$144.24	$323.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.12 / $131.77 / $723.76	Facility		$94.12	$131.77	$723.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $180.75 / $328.73	Professional		$90.46	$180.75	$328.73
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $115.39 / $150.01	Professional		$115.39	$115.39	$150.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.46 / $126.92 / $210.00	Professional		$123.46	$126.92	$210.00
United Facility/Professional Facility Modifier Low / Median / High Price $192.32 / $192.32 / $288.48	Facility		$192.32	$192.32	$288.48
United Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $80.77 / $301.33	Professional		$67.31	$80.77	$301.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $192.32 / $192.32	Professional		$192.32	$192.32	$192.32