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 $128.44 / $154.59 / $223.70	Facility		$128.44	$154.59	$223.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.75 / $935.47 / $935.47	Professional		$413.75	$935.47	$935.47
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 $517.79 / $517.79 / $1,165.03	Facility		$517.79	$517.79	$1,165.03
United Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $184.30 / $370.19	Professional		$156.72	$184.30	$370.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.31 / $185.31 / $194.80	Professional		$185.31	$185.31	$194.80