Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.90 / $113.05 / $124.06	Facility		$111.90	$113.05	$124.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $141.94 / $171.97	Professional		$123.53	$141.94	$171.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $273.42 / $637.11	Facility		$157.91	$273.42	$637.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.30 / $185.94 / $295.67	Professional		$127.30	$185.94	$295.67
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $135.86 / $173.02	Professional		$68.75	$135.86	$173.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $142.19 / $223.29	Professional		$108.32	$142.19	$223.29
United Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $150.55 / $252.61	Professional		$109.04	$150.55	$252.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $104.17 / $133.00	Professional		$104.17	$104.17	$133.00