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 $95.34 / $114.76 / $223.70	Facility		$95.34	$114.76	$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 $121.27 / $138.61 / $357.62	Facility		$121.27	$138.61	$357.62
United Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $172.19 / $339.26	Professional		$146.38	$172.19	$339.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.31 / $185.31 / $194.80	Professional		$185.31	$185.31	$194.80