Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $266.00 / $1,075.20	Facility		$90.00	$266.00	$1,075.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $187.60 / $229.60	Professional		$70.45	$187.60	$229.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $96.39 / $1,052.48	Facility		$68.84	$96.39	$1,052.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.12 / $282.63 / $475.44	Professional		$140.12	$282.63	$475.44
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $168.00 / $168.00	Professional		$65.76	$168.00	$168.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $78.33 / $106.81	Professional		$76.19	$78.33	$106.81
United Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $280.00 / $420.00	Facility		$280.00	$280.00	$420.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $117.60 / $438.72	Professional		$98.00	$117.60	$438.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $280.00 / $280.00	Professional		$280.00	$280.00	$280.00