Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $102.33 / $120.23	Facility		$100.00	$102.33	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $204.17	Professional		$102.33	$144.54	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $724.44 / $812.83	Facility		$234.42	$724.44	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $234.42	Professional		$97.72	$144.54	$234.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $158.49	Professional		$56.23	$104.71	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $120.23 / $223.87	Professional		$32.36	$120.23	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $489.78 / $489.78	Facility		$467.74	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $213.80	Professional		$87.10	$125.89	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15