Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.89 / $149.93 / $201.27	Facility		$119.89	$149.93	$201.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $168.79 / $223.52	Professional		$85.85	$168.79	$223.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.74 / $159.74 / $171.27	Facility		$159.74	$159.74	$171.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $135.78	Professional		$135.78	$135.78	$135.78
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $159.54 / $235.59	Professional		$59.95	$159.54	$235.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.81 / $171.39 / $396.19	Professional		$155.81	$171.39	$396.19
United Facility/Professional Professional Modifier Low / Median / High Price $107.73 / $129.91 / $154.76	Professional		$107.73	$129.91	$154.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.81 / $155.81 / $155.81	Professional		$155.81	$155.81	$155.81