Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $389.05 / $776.25	Facility		$102.33	$389.05	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $158.49	Professional		$91.20	$112.20	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $120.23 / $575.44	Facility		$81.28	$120.23	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $691.83	Professional		$114.82	$173.78	$691.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $120.23	Professional		$85.11	$85.11	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $128.82	Professional		$85.11	$114.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $128.82 / $141.25	Facility		$60.26	$128.82	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $213.80	Professional		$50.12	$60.26	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $85.11 / $85.11	Professional		$38.90	$85.11	$85.11