Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $426.58 / $870.96	Facility		$131.83	$426.58	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $194.98	Professional		$107.15	$123.03	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $158.49 / $724.44	Facility		$107.15	$158.49	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $302.00	Professional		$81.28	$154.88	$302.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $177.83	Professional		$107.15	$107.15	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $38.02 / $52.48	Professional		$9.55	$38.02	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $107.15 / $177.83	Facility		$74.13	$107.15	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $177.83	Professional		$61.66	$74.13	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $177.83	Professional		$47.86	$47.86	$177.83