Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $426.58 / $851.14	Facility		$112.20	$426.58	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $173.78	Professional		$93.33	$123.03	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $120.23 / $630.96	Facility		$81.28	$120.23	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $758.58	Professional		$190.55	$229.09	$758.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $131.83	Professional		$93.33	$93.33	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $141.25	Professional		$50.12	$93.33	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $141.25 / $158.49	Facility		$66.07	$141.25	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $234.42	Professional		$54.95	$66.07	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $93.33 / $93.33	Professional		$42.66	$93.33	$93.33