Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.74 / $172.36 / $248.61	Facility		$147.74	$172.36	$248.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $196.94 / $248.61	Professional		$145.22	$196.94	$248.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.34 / $189.34 / $189.34	Facility		$189.34	$189.34	$189.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $190.91 / $249.63 / $272.74	Professional		$190.91	$249.63	$272.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $492.63	Professional		$40.00	$50.00	$492.63
United Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $144.59 / $168.69	Professional		$144.59	$144.59	$168.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Professional		$375.00	$375.00	$375.00