Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $165.55 / $364.22	Facility		$88.00	$165.55	$364.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.74 / $100.60 / $190.12	Professional		$90.74	$100.60	$190.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.92 / $121.68 / $460.00	Facility		$86.92	$121.68	$460.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $127.09 / $243.64	Professional		$62.94	$127.09	$243.64
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $73.33 / $114.80	Professional		$73.33	$73.33	$114.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.39 / $48.71 / $209.57	Professional		$47.39	$48.71	$209.57
United Facility/Professional Facility Modifier Low / Median / High Price $92.21 / $122.22 / $183.33	Facility		$92.21	$122.22	$183.33
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $70.03 / $217.02	Professional		$51.33	$70.03	$217.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $122.22 / $122.22	Professional		$122.22	$122.22	$122.22