Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.79 / $171.16 / $392.23	Facility		$62.79	$171.16	$392.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $99.84 / $146.36	Professional		$75.59	$99.84	$146.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.52 / $129.54 / $536.44	Facility		$92.52	$129.54	$536.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $129.40 / $255.96	Professional		$78.80	$129.40	$255.96
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $134.16 / $179.87	Professional		$88.36	$134.16	$179.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.83 / $75.30 / $157.54	Professional		$18.83	$75.30	$157.54
United Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $213.94	Facility		$142.63	$142.63	$213.94
United Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $66.30 / $328.05	Professional		$54.70	$66.30	$328.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $85.58 / $85.58	Professional		$85.58	$85.58	$85.58