Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.13 / $287.91 / $392.46	Professional		$246.13	$287.91	$392.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $358.71 / $432.14	Facility		$358.71	$358.71	$432.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.89 / $358.71 / $421.12	Professional		$304.89	$358.71	$421.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $342.68 / $543.92 / $655.04	Professional		$342.68	$543.92	$655.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $280.14 / $373.52 / $466.91	Professional		$280.14	$373.52	$466.91
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $231.69 / $391.30	Facility		$26.92	$231.69	$391.30
United Facility/Professional Professional Modifier Low / Median / High Price $248.31 / $313.14 / $455.46	Professional		$248.31	$313.14	$455.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $466.91 / $466.91 / $466.91	Professional		$466.91	$466.91	$466.91