Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $290.36 / $709.24	Facility		$150.00	$290.36	$709.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.54 / $159.46 / $195.16	Professional		$97.54	$159.46	$195.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.28 / $117.99 / $894.48	Facility		$84.28	$117.99	$894.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.05 / $197.77 / $403.85	Professional		$83.05	$197.77	$403.85
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $142.80 / $142.80 / $479.84	Professional		$142.80	$142.80	$479.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $54.91 / $203.21	Professional		$53.41	$54.91	$203.21
United Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $238.00 / $357.00	Facility		$238.00	$238.00	$357.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $99.96 / $372.91	Professional		$62.81	$99.96	$372.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $238.00 / $238.00	Professional		$238.00	$238.00	$238.00