Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $213.80 / $251.19	Facility		$194.98	$213.80	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $316.23	Professional		$154.88	$208.93	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $309.03	Professional		$229.09	$229.09	$309.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $363.08	Professional		$109.65	$181.97	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $234.42	Professional		$169.82	$213.80	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $213.80 / $331.13	Facility		$165.96	$213.80	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $309.03	Professional		$165.96	$229.09	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $302.00	Professional		$213.80	$213.80	$302.00