Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $295.12 / $575.44	Facility		$77.62	$295.12	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $117.49	Professional		$69.18	$83.18	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $79.43 / $436.52	Facility		$58.88	$79.43	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $131.83 / $512.86	Professional		$63.10	$131.83	$512.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $91.20	Professional		$64.57	$64.57	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $2,238.72	Professional		$64.57	$95.50	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $95.50 / $107.15	Facility		$44.67	$95.50	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $162.18	Professional		$37.15	$44.67	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $64.57 / $64.57	Professional		$28.84	$64.57	$64.57