Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $416.87 / $812.83	Facility		$107.15	$416.87	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $165.96	Professional		$97.72	$117.49	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $125.89 / $602.56	Facility		$85.11	$125.89	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $724.44	Professional		$87.10	$165.96	$724.44
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $128.82	Professional		$89.13	$89.13	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $457.09	Professional		$89.13	$134.90	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $151.36 / $151.36	Facility		$63.10	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $223.87	Professional		$52.48	$63.10	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $89.13 / $89.13	Professional		$40.74	$89.13	$89.13