Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.92 / $156.51 / $383.59	Facility		$70.92	$156.51	$383.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $101.58 / $118.79	Professional		$67.98	$101.58	$118.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.51 / $153.31 / $482.92	Facility		$109.51	$153.31	$482.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $121.91 / $251.95	Professional		$78.80	$121.91	$251.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $76.97 / $136.60	Professional		$76.97	$76.97	$136.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $14.11 / $157.54	Professional		$3.53	$14.11	$157.54
United Facility/Professional Professional Modifier Low / Median / High Price $44.90 / $65.64 / $266.83	Professional		$44.90	$65.64	$266.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $16.04 / $16.04	Professional		$16.04	$16.04	$16.04