Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.81 / $3,048.00 / $5,010.74	Facility		$150.81	$3,048.00	$5,010.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.96 / $139.46 / $207.65	Professional		$117.96	$139.46	$207.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $195.78 / $195.78	Facility		$195.78	$195.78	$195.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $191.51	Professional		$166.41	$166.41	$191.51
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $176.09 / $276.31	Professional		$124.59	$176.09	$276.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.04 / $276.48 / $486.22	Professional		$221.04	$276.48	$486.22
United Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $137.84 / $178.39	Professional		$118.40	$137.84	$178.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $215.94 / $215.94 / $215.94	Professional		$215.94	$215.94	$215.94