Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.54 / $103.41 / $114.15	Facility		$78.54	$103.41	$114.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $125.03 / $165.38	Professional		$102.42	$125.03	$165.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.69 / $161.00 / $317.06	Facility		$144.69	$161.00	$317.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $160.96 / $286.73	Professional		$99.05	$160.96	$286.73
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $86.46 / $117.46	Professional		$43.23	$86.46	$117.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $86.85 / $168.04	Professional		$56.47	$86.85	$168.04
United Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $130.22 / $245.53	Professional		$87.15	$130.22	$245.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $99.32 / $107.39	Professional		$99.32	$99.32	$107.39