Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.76 / $133.13 / $398.52	Facility		$92.76	$133.13	$398.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $89.82 / $101.05	Professional		$69.41	$89.82	$101.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $108.67 / $410.28	Facility		$77.63	$108.67	$410.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.14 / $113.57 / $217.72	Professional		$56.14	$113.57	$217.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $65.48 / $273.00	Professional		$65.48	$65.48	$273.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $31.70 / $187.12	Professional		$30.83	$31.70	$187.12
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $62.53 / $226.99	Professional		$45.83	$62.53	$226.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $109.13 / $109.13	Professional		$109.13	$109.13	$109.13