Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $151.36 / $151.36	Facility		$100.00	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $169.82	Professional		$100.00	$134.90	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $302.00	Professional		$147.91	$147.91	$302.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $181.97	Professional		$85.11	$97.72	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $199.53 / $691.83	Professional		$50.12	$199.53	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $213.80 / $288.40	Facility		$173.78	$213.80	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $173.78	Professional		$125.89	$125.89	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $134.90	Professional		$7.08	$7.08	$134.90