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 $171.00 / $195.34 / $275.00	Professional		$171.00	$195.34	$275.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $67.29 / $223.70	Facility		$55.91	$67.29	$223.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $200.00 / $300.00	Professional		$190.00	$200.00	$300.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $215.23 / $289.74	Professional		$165.56	$215.23	$289.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $348.69	Professional		$50.00	$50.00	$348.69
United Facility/Professional Facility Modifier Low / Median / High Price $245.18 / $245.18 / $245.18	Facility		$245.18	$245.18	$245.18
United Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $167.30 / $286.98	Professional		$94.99	$167.30	$286.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.31 / $185.31 / $194.80	Professional		$185.31	$185.31	$194.80