Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.66 / $77.66 / $82.59	Facility		$77.66	$77.66	$82.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $97.19 / $137.25	Professional		$77.66	$97.19	$137.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $406.72 / $471.76	Facility		$130.11	$406.72	$471.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $116.46 / $249.72	Professional		$81.34	$116.46	$249.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $283.82 / $819.66 / $1,313.77	Facility		$283.82	$819.66	$1,313.77
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $118.55 / $237.10 / $316.11	Professional		$118.55	$237.10	$316.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $42.73 / $173.30	Professional		$29.54	$42.73	$173.30
United Facility/Professional Professional Modifier Low / Median / High Price $196.89 / $222.68 / $368.15	Professional		$196.89	$222.68	$368.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.21 / $175.06 / $175.06	Professional		$129.21	$175.06	$175.06