Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.58 / $190.58 / $251.63	Facility		$190.58	$190.58	$251.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.21 / $205.40 / $281.47	Professional		$180.21	$205.40	$281.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.67 / $264.67 / $691.21	Facility		$264.67	$264.67	$691.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.29 / $303.73 / $554.46	Professional		$202.29	$303.73	$554.46
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $121.32 / $239.25 / $299.95	Professional		$121.32	$239.25	$299.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.03 / $246.37 / $446.25	Professional		$178.03	$246.37	$446.25
United Facility/Professional Professional Modifier Low / Median / High Price $183.36 / $247.61 / $434.33	Professional		$183.36	$247.61	$434.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.83 / $188.83 / $188.83	Professional		$188.83	$188.83	$188.83