Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $71.66 / $84.31	Facility		$55.64	$71.66	$84.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $236.29 / $762.87	Professional		$63.23	$236.29	$762.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.63 / $803.63 / $803.63	Facility		$803.63	$803.63	$803.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $212.90 / $737.98	Professional		$96.15	$212.90	$737.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $1,399.01	Professional		$50.00	$50.00	$1,399.01
United Facility/Professional Professional Modifier Low / Median / High Price $50.42 / $151.26 / $383.87	Professional		$50.42	$151.26	$383.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $737.98	Professional		$500.00	$500.00	$737.98