Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $150.88 / $628.35	Facility		$88.00	$150.88	$628.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.82 / $106.87 / $219.24	Professional		$91.82	$106.87	$219.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $123.14 / $465.08	Facility		$87.96	$123.14	$465.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $128.78 / $246.88	Professional		$65.04	$128.78	$246.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $74.20 / $144.00	Professional		$74.20	$74.20	$144.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $51.22 / $212.07	Professional		$49.82	$51.22	$212.07
United Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $123.68	Facility		$123.68	$123.68	$123.68
United Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $70.87 / $272.10	Professional		$51.95	$70.87	$272.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $123.68 / $123.68	Professional		$123.68	$123.68	$123.68