Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.74 / $172.88 / $198.06	Facility		$160.74	$172.88	$198.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $198.06 / $280.24	Professional		$160.74	$198.06	$280.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $228.90 / $228.90	Facility		$228.90	$228.90	$228.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $194.57 / $228.90	Professional		$194.57	$194.57	$228.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $169.76 / $230.50 / $376.51	Professional		$169.76	$230.50	$376.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $301.20 / $301.20 / $301.20	Professional		$301.20	$301.20	$301.20
United Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $187.84 / $275.29	Professional		$161.68	$187.84	$275.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.02 / $220.02 / $376.51	Professional		$220.02	$220.02	$376.51