Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $269.27 / $898.56	Facility		$82.93	$269.27	$898.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $156.78 / $191.88	Professional		$82.93	$156.78	$191.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $144.94 / $880.48	Facility		$103.54	$144.94	$880.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.09 / $236.13 / $397.12	Professional		$117.09	$236.13	$397.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $140.40 / $140.40	Professional		$38.29	$140.40	$140.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $40.28 / $54.93	Professional		$39.18	$40.28	$54.93
United Facility/Professional Facility Modifier Low / Median / High Price $210.60 / $210.60 / $351.00	Facility		$210.60	$210.60	$351.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $98.28 / $366.65	Professional		$81.90	$98.28	$366.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Professional		$234.00	$234.00	$234.00