Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.10 / $173.00 / $173.00	Facility		$121.10	$173.00	$173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $173.00 / $173.00	Professional		$121.10	$173.00	$173.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.02 / $263.02 / $263.02	Facility		$263.02	$263.02	$263.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $192.01 / $263.02	Professional		$192.01	$192.01	$263.02
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $295.81 / $303.86	Professional		$225.00	$295.81	$303.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.09 / $186.30 / $204.93	Professional		$121.09	$186.30	$204.93
United Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $93.21 / $93.21	Professional		$93.21	$93.21	$93.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.30 / $186.30 / $186.30	Professional		$186.30	$186.30	$186.30