Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.10 / $300.75 / $734.63	Facility		$149.10	$300.75	$734.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $165.17 / $221.87	Professional		$41.65	$165.17	$221.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.84 / $180.37 / $926.32	Facility		$128.84	$180.37	$926.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.06 / $212.05 / $421.07	Professional		$123.06	$212.05	$421.07
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $147.91 / $147.91	Professional		$38.29	$147.91	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $44.30 / $310.62	Professional		$43.09	$44.30	$310.62
United Facility/Professional Professional Modifier Low / Median / High Price $86.28 / $103.80 / $386.26	Professional		$86.28	$103.80	$386.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $246.52 / $246.52	Professional		$246.52	$246.52	$246.52