Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $291.88 / $615.95	Facility		$157.00	$291.88	$615.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $146.10 / $180.99	Professional		$130.84	$146.10	$180.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.55 / $153.38 / $819.28	Facility		$108.55	$153.38	$819.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $250.69 / $331.95	Professional		$122.11	$250.69	$331.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $130.84 / $272.58	Professional		$130.84	$130.84	$272.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $6.48 / $17.86	Professional		$1.62	$6.48	$17.86
United Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $98.13 / $312.72	Facility		$76.31	$98.13	$312.72
United Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $91.59 / $312.72	Professional		$76.31	$91.59	$312.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $16.23 / $112.96	Professional		$16.23	$16.23	$112.96