Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.52 / $327.25 / $818.11	Facility		$167.52	$327.25	$818.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.10 / $181.85 / $250.76	Professional		$146.10	$181.85	$250.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $214.82 / $819.28	Facility		$153.44	$214.82	$819.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.07 / $215.34 / $425.73	Professional		$131.07	$215.34	$425.73
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $130.84 / $293.99	Professional		$130.84	$130.84	$293.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $120.50 / $279.20	Professional		$30.12	$120.50	$279.20
United Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $218.06 / $327.08	Facility		$218.06	$218.06	$327.08
United Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $117.50 / $364.13	Professional		$76.31	$117.50	$364.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Professional		$136.94	$136.94	$136.94