Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $345.11 / $842.98	Facility		$99.66	$345.11	$842.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $198.02 / $325.31	Professional		$90.00	$198.02	$325.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.42 / $272.18 / $1,063.92	Facility		$194.42	$272.18	$1,063.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $296.81 / $483.24	Professional		$141.51	$296.81	$483.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $169.73 / $498.54	Professional		$89.45	$169.73	$498.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.70 / $225.86 / $307.99	Professional		$219.70	$225.86	$307.99
United Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $118.81 / $443.23	Professional		$99.01	$118.81	$443.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $282.88	Professional		$282.88	$282.88	$282.88