Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $478.63 / $954.99	Facility		$213.80	$478.63	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $338.84	Professional		$263.03	$295.12	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $239.88 / $263.03	Professional		$87.10	$239.88	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $50.12	Professional		$32.36	$39.81	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $218.78 / $316.23	Facility		$204.17	$218.78	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $199.53 / $208.93	Professional		$54.95	$199.53	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Professional		$194.98	$194.98	$263.03