Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $246.93 / $777.22	Facility		$131.56	$246.93	$777.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $137.63 / $182.16	Professional		$110.31	$137.63	$182.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.07 / $155.50 / $760.68	Facility		$111.07	$155.50	$760.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $162.80 / $343.88	Professional		$97.53	$162.80	$343.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $121.44 / $176.91	Professional		$121.44	$121.44	$176.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $133.58 / $221.02	Professional		$129.94	$133.58	$221.02
United Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $202.40 / $303.60	Facility		$202.40	$202.40	$303.60
United Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $85.01 / $317.13	Professional		$70.84	$85.01	$317.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $202.40 / $202.40	Professional		$202.40	$202.40	$202.40