Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,122.02 / $2,290.87	Facility		$123.03	$1,122.02	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $269.15 / $389.05	Professional		$100.00	$269.15	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $138.04 / $1,659.59	Facility		$93.33	$138.04	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $501.19 / $1,949.84	Professional		$97.72	$501.19	$1,949.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $245.47	Professional		$141.25	$245.47	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $363.08	Professional		$245.47	$331.13	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $169.82 / $407.38	Facility		$100.00	$169.82	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $245.47	Professional		$57.54	$70.79	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $245.47 / $245.47	Professional		$109.65	$245.47	$245.47