Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $162.18 / $891.25	Facility		$22.91	$162.18	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $114.82 / $245.47	Professional		$21.88	$114.82	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $295.12 / $645.65	Facility		$32.36	$295.12	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $147.91 / $346.74	Professional		$25.70	$147.91	$346.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $199.53	Professional		$87.10	$158.49	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $36.31	Professional		$32.36	$33.11	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $380.19 / $398.11	Facility		$173.78	$380.19	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $123.03 / $263.03	Professional		$21.38	$123.03	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $125.89 / $151.36	Professional		$16.22	$125.89	$151.36