Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.56 / $269.30 / $847.64	Facility		$165.56	$269.30	$847.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $181.68 / $226.91	Professional		$163.88	$181.68	$226.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.99 / $219.77 / $829.48	Facility		$156.99	$219.77	$829.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.08 / $229.84 / $440.63	Professional		$116.08	$229.84	$440.63
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $67.77 / $132.44 / $187.10	Professional		$67.77	$132.44	$187.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $90.42 / $378.50	Professional		$87.95	$90.42	$378.50
United Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $126.48 / $451.73	Professional		$77.26	$126.48	$451.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $220.74 / $220.74	Professional		$220.74	$220.74	$220.74