Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $316.23 / $616.60	Facility		$81.28	$316.23	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $125.89	Professional		$74.13	$89.13	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $95.50 / $467.74	Facility		$64.57	$95.50	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $549.54	Professional		$67.61	$141.25	$549.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $97.72	Professional		$69.18	$69.18	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $575.44	Professional		$69.18	$102.33	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $102.33 / $114.82	Facility		$47.86	$102.33	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $154.88	Professional		$39.81	$47.86	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $69.18 / $69.18	Professional		$30.90	$69.18	$69.18