Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.30 / $95.30 / $127.67	Facility		$95.30	$95.30	$127.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $102.07 / $138.06	Professional		$90.47	$102.07	$138.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $345.63	Facility		$132.90	$132.90	$345.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.48 / $150.08 / $271.30	Professional		$100.48	$150.08	$271.30
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $111.68 / $137.16	Professional		$51.54	$111.68	$137.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.07 / $105.94 / $191.31	Professional		$76.07	$105.94	$191.31
United Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $123.02 / $209.92	Professional		$91.49	$123.02	$209.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $94.69 / $94.69	Professional		$94.69	$94.69	$94.69