Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.31 / $260.23 / $635.63	Facility		$149.31	$260.23	$635.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $153.58 / $343.45	Professional		$91.52	$153.58	$343.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.08 / $110.72 / $801.44	Facility		$79.08	$110.72	$801.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.89 / $177.36 / $362.24	Professional		$77.89	$177.36	$362.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $127.98 / $127.98 / $484.12	Professional		$127.98	$127.98	$484.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.93 / $140.77 / $232.92	Professional		$136.93	$140.77	$232.92
United Facility/Professional Facility Modifier Low / Median / High Price $213.30 / $213.30 / $319.95	Facility		$213.30	$213.30	$319.95
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $89.59 / $379.28	Professional		$63.72	$89.59	$379.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $213.30 / $213.30	Professional		$213.30	$213.30	$213.30