Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.19 / $116.88 / $336.29	Facility		$40.19	$116.88	$336.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $77.16 / $131.56	Professional		$58.01	$77.16	$131.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $94.27 / $360.60	Facility		$67.33	$94.27	$360.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.68 / $87.93 / $171.72	Professional		$55.68	$87.93	$171.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $47.56 / $84.31 / $98.59	Professional		$47.56	$84.31	$98.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $50.57 / $96.69	Professional		$12.65	$50.57	$96.69
United Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $95.80 / $143.69	Facility		$95.80	$95.80	$143.69
United Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $41.93 / $210.76	Professional		$33.53	$41.93	$210.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $57.48 / $57.48	Professional		$57.48	$57.48	$57.48