Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.29 / $216.62 / $529.13	Facility		$124.29	$216.62	$529.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $115.41 / $130.51	Professional		$107.28	$115.41	$130.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.67 / $146.54 / $667.68	Facility		$104.67	$146.54	$667.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $177.36 / $270.51	Professional		$81.68	$177.36	$270.51
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $106.54 / $210.39	Professional		$106.54	$106.54	$210.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $38.35 / $52.73	Professional		$9.59	$38.35	$52.73
United Facility/Professional Professional Modifier Low / Median / High Price $62.15 / $74.58 / $231.10	Professional		$62.15	$74.58	$231.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $47.94 / $91.98	Professional		$47.94	$47.94	$91.98