Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.93 / $162.15 / $514.32	Facility		$118.93	$162.15	$514.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $122.33 / $162.15	Professional		$77.84	$122.33	$162.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $94.17 / $638.36	Facility		$67.27	$94.17	$638.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $141.35 / $288.20	Professional		$66.29	$141.35	$288.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $52.38 / $101.94 / $163.33	Professional		$52.38	$101.94	$163.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $36.43 / $162.17	Professional		$35.43	$36.43	$162.17
United Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $71.36 / $266.20	Professional		$54.19	$71.36	$266.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $169.90 / $169.90	Professional		$169.90	$169.90	$169.90