Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $218.78 / $426.58	Facility		$97.72	$218.78	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $123.03	Professional		$104.71	$104.71	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $102.33 / $323.59	Facility		$72.44	$102.33	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $131.83	Professional		$91.20	$104.71	$131.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $104.71	Professional		$47.86	$47.86	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.89 / $56.23	Professional		$3.55	$3.89	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $63.10 / $95.50	Facility		$33.11	$63.10	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $112.20	Professional		$37.15	$44.67	$112.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $104.71	Professional		$51.29	$51.29	$104.71