Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.30 / $62.30 / $77.48	Facility		$62.30	$62.30	$77.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $79.11 / $115.53	Professional		$62.30	$79.11	$115.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.71 / $445.71 / $637.23	Facility		$57.71	$445.71	$637.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $83.01 / $166.76	Professional		$59.79	$83.01	$166.76
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $70.04 / $152.59 / $244.58	Facility		$70.04	$152.59	$244.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $82.31 / $119.54	Professional		$61.20	$82.31	$119.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $67.79 / $116.21	Professional		$43.04	$67.79	$116.21
United Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $524.34	Facility		$524.34	$524.34	$524.34
United Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $75.63 / $152.49	Professional		$61.65	$75.63	$152.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $57.74 / $57.74	Professional		$57.74	$57.74	$57.74