Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $123.03	Facility		$104.71	$112.20	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $199.53	Professional		$123.03	$144.54	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $275.42 / $602.56	Facility		$223.87	$275.42	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $302.00	Professional		$131.83	$186.21	$302.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $173.78	Professional		$75.86	$131.83	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $83.18 / $173.78	Professional		$32.36	$83.18	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $251.19 / $263.03	Facility		$144.54	$251.19	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $251.19	Professional		$109.65	$151.36	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $117.49	Professional		$104.71	$104.71	$117.49