Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.44 / $248.27 / $672.93	Facility		$142.44	$248.27	$672.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $152.63 / $183.15	Professional		$133.72	$152.63	$183.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.55 / $161.78 / $765.80	Facility		$115.55	$161.78	$765.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $175.15 / $347.81	Professional		$102.73	$175.15	$347.81
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $122.10 / $221.65	Professional		$122.10	$122.10	$221.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $54.91 / $278.60	Professional		$53.41	$54.91	$278.60
United Facility/Professional Facility Modifier Low / Median / High Price $122.58 / $203.50 / $305.25	Facility		$122.58	$203.50	$305.25
United Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $93.10 / $332.49	Professional		$71.23	$93.10	$332.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $203.50 / $203.50 / $203.50	Professional		$203.50	$203.50	$203.50