Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.37 / $102.53 / $121.40	Facility		$88.37	$102.53	$121.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.37 / $136.74 / $187.42	Professional		$88.37	$136.74	$187.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.84 / $716.87 / $809.37	Facility		$372.84	$716.87	$809.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.28 / $143.33 / $225.80	Professional		$93.28	$143.33	$225.80
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $102.66 / $166.29	Professional		$55.75	$102.66	$166.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $134.39 / $194.11	Professional		$98.78	$134.39	$194.11
United Facility/Professional Professional Modifier Low / Median / High Price $87.65 / $121.36 / $216.83	Professional		$87.65	$121.36	$216.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.90 / $106.90 / $106.90	Professional		$106.90	$106.90	$106.90