Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $128.82 / $891.25	Facility		$38.90	$128.82	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $109.65 / $199.53	Professional		$38.90	$109.65	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $181.97 / $645.65	Facility		$66.07	$181.97	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $117.49 / $245.47	Professional		$43.65	$117.49	$245.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $186.21	Professional		$61.66	$117.49	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $181.97	Professional		$32.36	$46.77	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $380.19 / $398.11	Facility		$102.33	$380.19	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $91.20 / $204.17	Professional		$35.48	$91.20	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $97.72 / $128.82	Professional		$31.62	$97.72	$128.82