Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,248.00 / $1,609.00	Facility		$200.00	$1,248.00	$1,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.12 / $178.00 / $275.00	Professional		$154.12	$178.00	$275.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.26 / $254.26 / $525.00	Facility		$254.26	$254.26	$525.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $1,064.88 / $1,064.88	Professional		$106.97	$1,064.88	$1,064.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $169.57 / $229.45 / $247.79	Professional		$169.57	$229.45	$247.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $433.61	Professional		$50.00	$50.00	$433.61
United Facility/Professional Facility Modifier Low / Median / High Price $179.57 / $179.57 / $179.57	Facility		$179.57	$179.57	$179.57
United Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $186.98 / $369.45	Professional		$164.84	$186.98	$369.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $108.27 / $108.27	Professional		$108.27	$108.27	$108.27