Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $200.86 / $200.86	Facility		$193.60	$200.86	$200.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $200.86 / $205.70	Professional		$193.60	$200.86	$205.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $84.75 / $205.70	Professional		$33.90	$84.75	$205.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $126.28 / $151.69	Professional		$50.00	$126.28	$151.69
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $222.20	Professional		$220.00	$220.00	$222.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $38.49 / $38.49	Professional		$38.49	$38.49	$38.49