Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.68 / $246.93 / $603.15	Facility		$141.68	$246.93	$603.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.03 / $145.72 / $387.29	Professional		$115.03	$145.72	$387.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.39 / $139.13 / $760.68	Facility		$99.39	$139.13	$760.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $174.22 / $345.97	Professional		$97.96	$174.22	$345.97
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $121.44 / $545.92	Professional		$121.44	$121.44	$545.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $133.58 / $239.65	Professional		$129.94	$133.58	$239.65
United Facility/Professional Facility Modifier Low / Median / High Price $182.16 / $182.16 / $303.60	Facility		$182.16	$182.16	$303.60
United Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $85.01 / $317.13	Professional		$70.84	$85.01	$317.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $202.40 / $202.40	Professional		$202.40	$202.40	$202.40