Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $190.00 / $866.00	Facility		$128.00	$190.00	$866.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $164.00	Professional		$128.00	$128.00	$164.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.45 / $140.63 / $751.76	Facility		$100.45	$140.63	$751.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.41 / $243.41 / $291.63	Professional		$243.41	$243.41	$291.63
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $170.00	Professional		$120.00	$120.00	$170.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $300.00	Facility		$200.00	$200.00	$300.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $84.00 / $313.37	Professional		$70.00	$84.00	$313.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00