Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $147.91 / $147.91	Facility		$141.25	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $151.36	Professional		$141.25	$147.91	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $141.25	Professional		$85.11	$93.33	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $199.53 / $691.83	Professional		$50.12	$199.53	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $162.18	Facility		$109.65	$109.65	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $162.18	Professional		$125.89	$162.18	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $134.90	Professional		$10.72	$10.72	$134.90