Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $87.10 / $165.96	Facility		$60.26	$87.10	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $147.91	Professional		$61.66	$87.10	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $54.95 / $117.49	Facility		$34.67	$54.95	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $177.83	Professional		$66.07	$107.15	$177.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $112.20	Professional		$48.98	$83.18	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,584.89 / $4,168.69	Facility		$269.15	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $158.49	Professional		$57.54	$87.10	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $112.20	Professional		$57.54	$85.11	$112.20