Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $100.00 / $288.40	Facility		$97.72	$100.00	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $120.23	Professional		$97.72	$100.00	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $549.54	Professional		$11.75	$11.75	$549.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $22.91	Facility		$16.98	$16.98	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $107.15	Professional		$102.33	$102.33	$107.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72