Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.39 / $168.96 / $572.16	Facility		$54.39	$168.96	$572.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $128.63 / $157.44	Professional		$45.60	$128.63	$157.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $66.16 / $722.48	Facility		$47.25	$66.16	$722.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $107.68 / $280.61	Professional		$41.32	$107.68	$280.61
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $115.20 / $115.20	Professional		$71.12	$115.20	$115.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $83.67 / $133.87	Professional		$83.67	$83.67	$133.87
United Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $192.00 / $288.00	Facility		$192.00	$192.00	$288.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $80.64 / $257.31	Professional		$35.14	$80.64	$257.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $192.00	Professional		$192.00	$192.00	$192.00