Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $338.84	Professional		$208.93	$275.42	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $371.54	Professional		$281.84	$331.13	$371.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $446.68 / $524.81	Professional		$114.82	$446.68	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $338.84	Professional		$199.53	$302.00	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $181.97 / $331.13	Facility		$21.88	$181.97	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $363.08	Professional		$186.21	$245.47	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54