Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.70 / $86.68 / $109.57	Facility		$79.70	$86.68	$109.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $102.73 / $146.03	Professional		$79.70	$102.73	$146.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.48 / $73.51 / $87.51	Facility		$72.48	$73.51	$87.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $138.22 / $218.20	Professional		$86.56	$138.22	$218.20
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 $48.30 / $99.61 / $138.77	Professional		$48.30	$99.61	$138.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $108.66 / $166.17	Professional		$79.02	$108.66	$166.17
United Facility/Professional Facility Modifier Low / Median / High Price $321.68 / $1,916.00 / $5,107.00	Facility		$321.68	$1,916.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $120.43 / $219.82	Professional		$87.59	$120.43	$219.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $73.67 / $73.67	Professional		$69.95	$73.67	$73.67