Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.61 / $158.50 / $198.71	Facility		$116.61	$158.50	$198.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.61 / $180.51 / $257.66	Professional		$122.61	$180.51	$257.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.10 / $142.07 / $169.13	Facility		$140.10	$142.07	$169.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.93 / $224.13 / $392.91	Professional		$133.93	$224.13	$392.91
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,403.00 / $4,241.00	Facility		$1,438.00	$2,403.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $88.99 / $162.36 / $251.67	Professional		$88.99	$162.36	$251.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $248.71 / $377.07	Professional		$175.00	$248.71	$377.07
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.33 / $211.90 / $382.19	Professional		$148.33	$211.90	$382.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $181.28 / $181.28	Professional		$108.00	$181.28	$181.28