Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $389.05	Professional		$245.47	$323.59	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $436.52	Facility		$354.81	$354.81	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $416.87	Professional		$302.00	$354.81	$416.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $549.54 / $660.69	Professional		$169.82	$549.54	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $467.74	Professional		$281.84	$371.54	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $229.09 / $407.38	Facility		$27.54	$229.09	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $436.52	Professional		$223.87	$302.00	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74