Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $366.00 / $1,001.84	Facility		$210.00	$366.00	$1,001.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $214.18 / $296.56	Professional		$179.58	$214.18	$296.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.24 / $271.94 / $1,127.64	Facility		$194.24	$271.94	$1,127.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $242.75 / $509.09	Professional		$151.50	$242.75	$509.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $288.02	Professional		$180.00	$180.00	$288.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $158.40 / $331.82	Professional		$39.60	$158.40	$331.82
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $450.00	Facility		$300.00	$300.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $138.38 / $470.06	Professional		$105.00	$138.38	$470.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Professional		$180.00	$180.00	$180.00