Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $512.86 / $1,000.00	Facility		$131.83	$512.86	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $204.17	Professional		$120.23	$144.54	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $141.25 / $758.58	Facility		$95.50	$141.25	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $891.25	Professional		$223.87	$269.15	$891.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $158.49	Professional		$112.20	$112.20	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $165.96	Professional		$112.20	$151.36	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $165.96 / $186.21	Facility		$77.62	$165.96	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $275.42	Professional		$64.57	$77.62	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $112.20 / $112.20	Professional		$50.12	$112.20	$112.20