Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.62 / $75.62 / $91.80	Facility		$75.62	$75.62	$91.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $97.24 / $141.84	Professional		$75.62	$97.24	$141.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.77 / $468.96 / $773.96	Facility		$80.77	$468.96	$773.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.14 / $102.86 / $203.57	Professional		$72.14	$102.86	$203.57
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $92.38 / $240.17 / $384.95	Facility		$92.38	$240.17	$384.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $100.30 / $139.78	Professional		$73.03	$100.30	$139.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $100.79 / $167.24	Professional		$54.12	$100.79	$167.24
United Facility/Professional Facility Modifier Low / Median / High Price $209.74 / $209.74 / $209.74	Facility		$209.74	$209.74	$209.74
United Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $92.43 / $177.85	Professional		$73.34	$92.43	$177.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $65.04 / $65.04	Professional		$65.04	$65.04	$65.04