Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $93.33 / $977.24	Facility		$17.78	$93.33	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $269.15	Professional		$154.88	$190.55	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $275.42	Professional		$234.42	$234.42	$275.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $371.54	Professional		$81.28	$223.87	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $295.12	Professional		$288.40	$288.40	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $229.09 / $239.88	Facility		$128.82	$229.09	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $234.42	Professional		$154.88	$181.97	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $371.54	Professional		$186.21	$186.21	$371.54