Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.21 / $252.92 / $796.07	Facility		$176.21	$252.92	$796.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $170.63 / $191.96	Professional		$113.20	$170.63	$191.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.41 / $206.40 / $779.80	Facility		$147.41	$206.40	$779.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $198.10 / $407.36	Professional		$106.70	$198.10	$407.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $124.39 / $138.09	Professional		$49.06	$124.39	$138.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $47.63 / $355.47	Professional		$46.33	$47.63	$355.47
United Facility/Professional Facility Modifier Low / Median / High Price $101.82 / $124.39 / $186.58	Facility		$101.82	$124.39	$186.58
United Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $118.79 / $324.83	Professional		$72.56	$118.79	$324.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $207.31	Professional		$207.31	$207.31	$207.31