Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.29 / $225.85 / $1,001.50	Facility		$133.29	$225.85	$1,001.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.03 / $144.38 / $1,048.23	Professional		$124.03	$144.38	$1,048.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $408.47 / $695.72	Facility		$235.00	$408.47	$695.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $194.08 / $316.42	Professional		$92.66	$194.08	$316.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $111.07 / $1,463.00	Professional		$111.07	$111.07	$1,463.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $97.74 / $149.94	Professional		$24.43	$97.74	$149.94
United Facility/Professional Facility Modifier Low / Median / High Price $185.12 / $185.12 / $277.68	Facility		$185.12	$185.12	$277.68
United Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $77.75 / $277.68	Professional		$64.79	$77.75	$277.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $111.07 / $111.07	Professional		$111.07	$111.07	$111.07