Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.54 / $311.16 / $911.56	Facility		$178.54	$311.16	$911.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $183.64 / $229.55	Professional		$157.25	$183.64	$229.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.41 / $214.79 / $959.44	Facility		$153.41	$214.79	$959.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.46 / $249.89 / $435.84	Professional		$127.46	$249.89	$435.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $153.03 / $153.03	Professional		$49.68	$153.03	$153.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $54.91 / $327.60	Professional		$53.41	$54.91	$327.60
United Facility/Professional Facility Modifier Low / Median / High Price $382.58 / $382.58 / $382.58	Facility		$382.58	$382.58	$382.58
United Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $107.12 / $399.63	Professional		$77.04	$107.12	$399.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $255.05 / $255.05	Professional		$255.05	$255.05	$255.05