Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $198.77 / $551.90	Facility		$100.00	$198.77	$551.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.90 / $400.00	Professional		$100.00	$138.90	$400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.30 / $133.41 / $696.96	Facility		$95.30	$133.41	$696.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $186.73 / $314.51	Professional		$92.66	$186.73	$314.51
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $111.12 / $397.71	Professional		$111.12	$111.12	$397.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.32 / $67.15 / $91.57	Professional		$65.32	$67.15	$91.57
United Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $277.80	Facility		$185.20	$185.20	$277.80
United Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $77.78 / $290.18	Professional		$64.81	$77.78	$290.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $185.20	Professional		$185.20	$185.20	$185.20