Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $119.37 / $614.00	Facility		$29.94	$119.37	$614.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $123.36 / $232.70	Professional		$21.63	$123.36	$232.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $301.87 / $648.15	Facility		$32.03	$301.87	$648.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $148.28 / $358.16	Professional		$25.59	$148.28	$358.16
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $154.63 / $194.74	Professional		$78.25	$154.63	$194.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.81 / $141.76 / $226.29	Professional		$97.81	$141.76	$226.29
United Facility/Professional Professional Modifier Low / Median / High Price $148.44 / $215.24 / $326.26	Professional		$148.44	$215.24	$326.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $125.61 / $125.61	Professional		$16.28	$125.61	$125.61