Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $239.88	Professional		$91.20	$109.65	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $354.81	Facility		$177.83	$177.83	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $275.42	Professional		$104.71	$151.36	$275.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $138.04	Professional		$54.95	$112.20	$138.04
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 $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $208.93	Professional		$91.20	$123.03	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $104.71	Professional		$95.50	$95.50	$104.71