Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $54.95 / $309.03	Facility		$53.70	$54.95	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $125.89	Professional		$54.95	$75.86	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $602.56 / $870.96	Facility		$204.17	$602.56	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $177.83	Professional		$57.54	$83.18	$177.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $239.88 / $446.68	Facility		$83.18	$239.88	$446.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $117.49	Professional		$54.95	$77.62	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.88 / $87.10	Professional		$18.20	$33.88	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $190.55 / $489.78	Facility		$39.81	$190.55	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $138.04	Professional		$60.26	$77.62	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $77.62	Professional		$50.12	$50.12	$77.62