Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $183.00 / $576.00	Facility		$105.00	$183.00	$576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $108.00 / $209.72	Professional		$100.00	$108.00	$209.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.31 / $181.01 / $564.48	Facility		$129.31	$181.01	$564.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $151.49 / $254.55	Professional		$74.98	$151.49	$254.55
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $90.00 / $292.67	Professional		$57.44	$90.00	$292.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $43.68 / $59.56	Professional		$42.48	$43.68	$59.56
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $225.00	Facility		$150.00	$150.00	$225.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $63.00 / $235.03	Professional		$52.50	$63.00	$235.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00