Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $210.36 / $213.25	Facility		$128.27	$210.36	$213.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.27 / $194.02 / $213.25	Professional		$128.27	$194.02	$213.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Facility		$306.00	$306.00	$306.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $170.00 / $190.49	Professional		$95.25	$170.00	$190.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $315.00	Professional		$300.00	$300.00	$315.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $294.91 / $294.91 / $294.91	Professional		$294.91	$294.91	$294.91