Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $124.50 / $124.50	Facility		$120.00	$124.50	$124.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $124.50 / $127.50	Professional		$120.00	$124.50	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
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 Facility Modifier Low / Median / High Price $1.50 / $150.00 / $150.00	Facility		$1.50	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $151.50	Professional		$150.00	$150.00	$151.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50