Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $167.14 / $526.08	Facility		$89.05	$167.14	$526.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $93.16 / $123.30	Professional		$74.67	$93.16	$123.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.19 / $105.26 / $514.79	Facility		$75.19	$105.26	$514.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $110.87 / $232.52	Professional		$65.95	$110.87	$232.52
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $82.20 / $119.75	Professional		$82.20	$82.20	$119.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $90.42 / $123.30	Professional		$87.95	$90.42	$123.30
United Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $82.20 / $123.30	Facility		$49.32	$82.20	$123.30
United Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $57.54 / $214.66	Professional		$47.95	$57.54	$214.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Professional		$137.00	$137.00	$137.00