Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $130.00 / $410.22	Facility		$79.34	$130.00	$410.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $79.34 / $196.38	Professional		$68.16	$79.34	$196.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.30 / $91.42 / $356.80	Facility		$65.30	$91.42	$356.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $95.65 / $183.38	Professional		$48.82	$95.65	$183.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $56.84 / $97.25	Professional		$56.84	$56.84	$97.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $54.91 / $157.42	Professional		$53.41	$54.91	$157.42
United Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $94.74 / $142.11	Facility		$94.74	$94.74	$142.11
United Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $52.61 / $163.02	Professional		$33.15	$52.61	$163.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $94.74 / $94.74	Professional		$94.74	$94.74	$94.74