Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.94 / $320.85 / $783.71	Facility		$170.94	$320.85	$783.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.33 / $184.09 / $236.69	Professional		$143.33	$184.09	$236.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.08 / $184.91 / $988.76	Facility		$132.08	$184.91	$988.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.86 / $218.81 / $461.36	Professional		$130.86	$218.81	$461.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $157.79 / $157.79 / $229.87	Professional		$157.79	$157.79	$229.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.05 / $21.55	Professional		$3.50	$14.05	$21.55
United Facility/Professional Professional Modifier Low / Median / High Price $92.05 / $110.46 / $412.07	Professional		$92.05	$110.46	$412.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $15.97 / $15.97	Professional		$15.97	$15.97	$15.97