Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.86 / $153.83 / $520.92	Facility		$71.86	$153.83	$520.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $117.12 / $155.66	Professional		$95.27	$117.12	$155.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.92 / $134.30 / $657.48	Facility		$95.92	$134.30	$657.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $140.46 / $296.77	Professional		$84.34	$140.46	$296.77
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $104.89 / $152.80	Professional		$104.89	$104.89	$152.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $54.91 / $90.85	Professional		$53.41	$54.91	$90.85
United Facility/Professional Facility Modifier Low / Median / High Price $157.33 / $157.33 / $262.20	Facility		$157.33	$157.33	$262.20
United Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $73.42 / $363.60	Professional		$61.18	$73.42	$363.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Professional		$174.81	$174.81	$174.81